A brief history of nhs funding over the last ten years
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A brief history of NHS funding over the last ten years…. Prof John Appleby Chief Economist King’s Fund. Bust, boom, bust?. 1997-2000 : Stick to Conservative spending plans 1999/2000 : Blair announces NHS funding boost 2002 : Derek Wanless forecasts future funding needs

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A brief history of NHS funding over the last ten years…

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A brief history of nhs funding over the last ten years

A brief history of NHS funding over the last ten years…

Prof John Appleby

Chief Economist

King’s Fund


Bust boom bust

Bust, boom, bust?

  • 1997-2000: Stick to Conservative spending plans

  • 1999/2000: Blair announces NHS funding boost

  • 2002: Derek Wanless forecasts future funding needs

  • 2007 CSR: slow down in NHS funding growth…


A brief history of nhs funding over the last ten years

…to £130 billion…

A real increase of 110%

From £44 billion…


A brief history of nhs funding over the last ten years

…to £1 in 12

From £1 in 20 in the entire economy spent on the NHS…


A brief history of nhs funding over the last ten years

After years of parsimony…

…political decision to spend more…

…but growth slows (it will feel like a cut)…


A brief history of nhs funding over the last ten years

On target for Wanless recommendations?…

…but now catching up…

Historically, UK has lagged behind EU-15 countries…


The 64 billion question where did the money go

The £64 billion question:Where did the money go?


Higher costs

…higher costs

Inflation absorbed £18+billion….

…leaving around 56% of the cash increase to buy extra things


Higher pay costs

…higher pay costs

Pay inflation: up 80% in ten years….

Large pay awards for doctors in particular as a result of new contracts ….


More staff

…more staff

A quarter of a million new NHS staff over ten years….

But last few years have seen minimal increases as NHS deals with deficits and plans for a tighter financial future


Shorter waiting times

…shorter waiting times

Waiting list now at its lowest since 1974….

…and waiting times reduced massively: virtually no one waiting more then 6 months….


More patients

…more patients

11% increase in elective admissions….


More more more

…more, more, more!

  • Virtually all NHS Plan ‘shopping list’ targets met:

    • 100 new hospitals

    • Modernising 3,000 GP premises

    • 75% of all MRI/CT scanners and linear accelerators now new…

    • But, problems with ICT investment

    • …backlog maintenance…single rooms…


Value for money

….value for money?

  • Higher unit costs

  • Lower admissions per consultant and per nurse….

  • Official productivity measures show downward trend…

  • Poor financial control (deficits…)


Greater satisfaction

…greater satisfaction?

Net satisfaction with NHS overall highest it has been since 1980s….(shame about NHS dentistry…)


Www kingsfund org uk

www.kingsfund.org.uk


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