5.nhs presentation april2010 amb. lillie


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Stephen Lillie took up his appointment as Her Britannic Majesty's Ambassador to the Republic of the Philippines in August 2008. Born in 1966, Stephen joined the Diplomatic Service after graduating in Modern Languages from Oxford University in 1988. His diplomatic career has been largely Asia-focused, with postings in Hong Kong (for Chinese language training), Beijing, New Delhi and Guangzhou, China where he served as Her Majesty's Consul-General. Immediately prior to Manila he was Head of Far Eastern Group in the Foreign & Commonwealth Office in London for three years, overseeing UK relations with North-East Asia.

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  • NHS Facts and Figures:   The NHS employs more than 1.5million people, including: 90,000 hospital doctors, 35,000 general practitioners, 400,000 nurses 6,000 ambulance staff   On average, the NHS treats 1m patients every 36 hours - that’s 463 people a minute or almost 8 a second.   Each week, 700,000 will visit an NHS dentist, while a further 3,000 will have a heart operation.   NHS waiting times in England are now at the lowest levels since NHS records began with a median wait of: o    7.7 weeks from referral to admitted patient treatment; o    4.2 weeks from referral to non-admitted patient treatment (ie not referred on for treatment in hospital). o    1.9 weeks for a diagnostic test o    98.1% of patients were seen, diagnosed and treated within four hours of their arrival at Accident & Emergency (The Emergency Room).   ·          When the NHS was launched in 1948 it had a budget of £437million, It will increase to £105.8 billion in 2010/11.   ·          In England, 89 per cent of drugs prescribed to patients are dispensed for free. The maximum cost of receiving any drug which is prescribed is £7.20 (approx $12).  
  • US UK Health Care Spending per Capita in 2004 ~ US - $6,102 16% of GDP UK - $2,546 8.3 of GDP Life expectancy in 2000* 77 78 Under 5 mortality rate (probability of dying by age 5 per 1000 live births)* 9 6 Average Annual Rate of Growth in Real Healthcare Spending per Capita, 1994 to 2004 ~ 3.7% 4.2% Number of Beds per 1,000 people in 2004 ~ 2.8 beds 3.6 beds Average Length of Stay for Acute Care in 2004 ~ 5.6 days 3.6 days Potential Years of Life Lost Due to Diseases of the Circulatory System per 100,000 Population in 2004 ~ 825 635 Potential Years of Life Lost Due to Diabetes per 100,000 Population in 2004 ~ 101 30 Potential Years of Life Lost Due to diseases of the Respiratory System in 2004 ~ 190 172 Deaths Due to Surgical or Medical Mishaps per 100,000 Population in 2004 ~ 0.7 0.5 *Figures from World Health Organisation ~ Figures from Commonwealth Fund report - Mirror, Mirror on the Wall: An International Update on the Comparative Performance of American Health Care  
  • 5.nhs presentation april2010 amb. lillie

    1. 1. Health Financing Summit 04.14.10
    2. 2. The National Health Service of the United Kingdom By British Ambassador Stephen Lillie Health Financing Summit, 14 April 2010
    3. 3. The UK National Health Service <ul><li>founded in 1948 </li></ul><ul><li>3 core principles: </li></ul><ul><ul><li>It meets the needs of everyone. </li></ul></ul><ul><ul><li>It is free at the point of delivery. </li></ul></ul><ul><ul><li>It is based on clinical need, not ability to pay. </li></ul></ul><ul><li>delivered major improvements in health </li></ul><ul><li>has a proud history of innovation </li></ul>
    4. 4. The UK NHS <ul><li>90,000 hospital doctors, </li></ul><ul><li>35,000 general practitioners, </li></ul><ul><li>400,000 nurses, and </li></ul><ul><li>6,000 ambulance staff </li></ul><ul><li>1m patients every 36 hours </li></ul><ul><li>700,000 dental visits every week </li></ul><ul><li>3,000 heart operations a week </li></ul>
    5. 5. In the 1990s, despite many achievements, it had become outdated and had systemic problems <ul><li>underfunded </li></ul><ul><li>understaffed </li></ul><ul><li>lacked national standards </li></ul><ul><li>had old-fashioned demarcations between staff </li></ul><ul><li>had barriers between services </li></ul><ul><li>lacked clear incentives and levers to improve performance </li></ul><ul><li>over-centralised </li></ul><ul><li>disempowered patients </li></ul>
    6. 6. Major investments <ul><li>facilities </li></ul><ul><li>staff </li></ul><ul><li>reforms </li></ul><ul><li>institutions </li></ul>
    7. 7. The NHS structure Source: h ttp://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhsstructure.aspx
    8. 8. The NHS today <ul><li>Shaped around the needs and preferences of individual patients </li></ul><ul><li>provides access to a comprehensive range of services </li></ul><ul><li>provides choices </li></ul><ul><li>helps reduce health inequalities </li></ul><ul><li>works with stakeholders </li></ul><ul><li>helps keep people healthy </li></ul>
    9. 9. NHS expenditure Sources: ONS, Annual Abstract of Statistics: 2008 , Table 10.22, and earlier editions; ONS database , series YBHA , ABMI and YBGB ; Health Committee, Public Expenditure on Health and Personal Social Services 2007: Memorandum received from the Department of Health containing Replies to a Written Questionnaire from the Committee , HC 26-i, 8 November 2007, Table 2
    10. 10. Misconceptions about the NHS <ul><li>“ Old people are denied prescribed drugs, treatment and surgery.” </li></ul><ul><li>“ The NHS denies state-of-the-art drugs to cancer patients.” </li></ul><ul><li>“ Patients have no choice about their treatment.” </li></ul><ul><li>“ Women under 25 are not allowed a cervical smear test in the England because its too expensive.” </li></ul><ul><li>“ Patients have to wait a very long time to be seen by a doctor or to receive treatment.” </li></ul>UNTRUE!
    11. 11. The NHS today <ul><li>universal </li></ul><ul><li>comprehensive </li></ul><ul><li>efficient </li></ul><ul><li>cost-effective </li></ul><ul><li>egalitarian </li></ul><ul><li>innovative </li></ul>*Figures from World Health Organisation ~ Figures from Commonwealth Fund report - Mirror, Mirror on the Wall: An International Update on the Comparative Performance of American Health Care
    12. 12. “ No society can legitimately call itself civilized if a sick person is denied medical aid because of lack of means.&quot;   -- Aneurin Bevan, architect of the NHS
    13. 13. Health Financing Summit 04.14.10