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Developing Labour HealthPolicy: what does the evidencetell us?• Ruth Thorlby, Nuffield Trust                              ...
Total inpatient waiting list, England 1996-2009                                                                      © Nuf...
Deaths per 100,000 from circulatory diseases, selected  OECD countries, 1990-2007                                         ...
Changes in average real earnings, selected NHS staffgroups, England                                                       ...
The Scale of the Challenge Estimating the Nicholson Challenge for Health and Social           Care in England 2011-12 to 2...
Average Number of Admissions Per Person Per Yearby Condition (Renal & Cancer Omitted)                           2         ...
Average Number of Admissions Per Person From 2004/05to 2009/10                          0.18                          0.16...
In 2009 an estimated 61% of adults (aged 16 and over) were overweight or  obese (National Obesity Observatory)Trends in ad...
NHS Expenditure                    Maternity                      3%          Other                                Seconda...
Changes in satisfaction with the way the NHS is run, 1993-1997Source: Thorlby and Maybin eds., A High Performing NHS? King...
Changes in number of NHS Staff, England 1998-2008                                                    © Nuffield Trust
Patients aware of choice 2006-2009                                     © Nuffield Trust
Changes in inputs, outputs and quality adjustedproductivity, UK NHS                                                  © Nuf...
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Developing Labour Health Policy: what does the evidence tell us?

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Ruth Thorlby, Nuffield Trust
May 2012

Published in: Health & Medicine, Education
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  • Targets and terror?Central control or local flexibility?Contribution from ISTCs?
  • Consultants and GPs were the big winners: not clear that more productivity increased..GPs: era of financial incentives=QOF, DES, LES. What is the vision for changing public sector motivation?
  • Satisfaction at an all time highMore surveys of patient experience than ever before, but not clear they are sensitive enough to reflect quality failure or pick up views of the most vulnerable
  • Huge investment : alot went on staff, all types, including managers
  • Transcript of "Developing Labour Health Policy: what does the evidence tell us? "

    1. 1. Developing Labour HealthPolicy: what does the evidencetell us?• Ruth Thorlby, Nuffield Trust © Nuffield Trust
    2. 2. Total inpatient waiting list, England 1996-2009 © Nuffield TrustSource: Thorlby and Maybin eds., A High Performing NHS? King’s Fund
    3. 3. Deaths per 100,000 from circulatory diseases, selected OECD countries, 1990-2007 © Nuffield TrustSource: Thorlby and Maybin eds., A High Performing NHS? King’s Fund
    4. 4. Changes in average real earnings, selected NHS staffgroups, England © Nuffield Trust
    5. 5. The Scale of the Challenge Estimating the Nicholson Challenge for Health and Social Care in England 2011-12 to 2021-22 © Nuffield Trust Social Care Funding Social Care Pressures Health Funding Health Pressures
    6. 6. Average Number of Admissions Per Person Per Yearby Condition (Renal & Cancer Omitted) 2 1.9 1.8 Diab 1.7 CHD Admissions Per Person Epilepsy COPD 1.6 Arthritis HeartFailure MH 1.5 Asthma Dementia Stroke 1.4 1.3 1.2 2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 Year © Nuffield Trust
    7. 7. Average Number of Admissions Per Person From 2004/05to 2009/10 0.18 0.16 0.14 Admissions Per Person 0.12 Elective Admission Non-Elective Admissions 0.1 0.08 0.06 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 Year © Nuffield Trust
    8. 8. In 2009 an estimated 61% of adults (aged 16 and over) were overweight or obese (National Obesity Observatory)Trends in adult prevalence of obesity (BMI ≥30kg/m2) – percentage of the adultpopulation assessed as obese in a selection of countries(NOO based on OECD data)
    9. 9. NHS Expenditure Maternity 3% Other Secondary 7% GPs 9% Community Prescribing 10% 9% Other Primary Mental 6% Illness 10% Acute and A&E 47% © Nuffield Trust
    10. 10. Changes in satisfaction with the way the NHS is run, 1993-1997Source: Thorlby and Maybin eds., A High Performing NHS? King’s Fund © Nuffield Trust
    11. 11. Changes in number of NHS Staff, England 1998-2008 © Nuffield Trust
    12. 12. Patients aware of choice 2006-2009 © Nuffield Trust
    13. 13. Changes in inputs, outputs and quality adjustedproductivity, UK NHS © Nuffield Trust
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