Managing Healthcare Case study of Britain
Origins of the Welfare State <ul><li>Sir William Beveridge in 1942 </li></ul><ul><li>duty of government to provide basic h...
1. Nationalisation of Utilities and Industries <ul><li>Challenges faced: </li></ul><ul><li>need to ensure major services r...
2. Provision of Social Welfare <ul><li>Challenges faced: </li></ul><ul><li>need to ease hardship caused by poverty, handic...
3. Provision of Health and Medical Care  <ul><li>Challenges faced: </li></ul><ul><li>need to provide health service for pe...
‘Cradle-to-grave’ benefits <ul><li>Maternity grant and allowance </li></ul><ul><li>Child benefit </li></ul><ul><li>Sicknes...
What is the message of the cartoon?
Challenges faced by NHS <ul><li>Unable to cope with the rising demand for free medical care – inefficiency and drop in the...
British Government’s Response to the ensure the sustainability of NHS <ul><li>Managing government spending </li></ul><ul><...
1) Managing government spending <ul><li>1980 – Reduction in government spending </li></ul><ul><li>the government under Mar...
<ul><li>2000 – A more balanced approach </li></ul><ul><li>Government seeked a more balanced approach in managing governmen...
2) Increasing efficiency <ul><li>1980s – The Challenges: </li></ul><ul><li>Increased in the demand for healthcare </li></u...
<ul><li>Responses to the Challenges in the 1980s: </li></ul><ul><li>Magaret Thatcher introduced the policy of privatisatio...
<ul><li>Example of privatisation for NHS hospitals was for contracting out non-medical services such as laundry, catering,...
3) Providing quality service <ul><li>Increased demand led to the drop in standards within the NHS </li></ul><ul><li>Hence ...
a) NHS Plan (2000) <ul><li>Changes to NHS based on feedback from staff, patients and other stakeholders of healthcare </li...
b) NHS Improvement Plan (2004) <ul><li>Patients have a choice of four different healthcare providers  </li></ul><ul><li>NH...
Have the British Healthcare policies met the needs of the people?
Have the British Healthcare policies met the needs of the people?
Have the British Healthcare policies met the needs of the people?
Have the British Healthcare policies met the needs of the people?
Have the British Healthcare policies met the needs of the people?
Have the British Healthcare policies met the needs of the people?
Have the British Healthcare policies met the needs of the people?
Have the British Healthcare policies met the needs of the people?
Have the British healthcare policies met the needs of the people? <ul><li>YES </li></ul><ul><li>Public good based on meeti...
<ul><li>Free treatment for all </li></ul><ul><li>Improved NHS Services over the years – shorter waits for treatments today...
<ul><li>NO </li></ul><ul><li>Standards in some areas of UK remain low </li></ul><ul><li>Long waiting lists and inefficienc...
Upcoming SlideShare
Loading in …5
×

Managing Healthcare Britain

6,327 views

Published on

Published in: Education
3 Comments
13 Likes
Statistics
Notes
No Downloads
Views
Total views
6,327
On SlideShare
0
From Embeds
0
Number of Embeds
469
Actions
Shares
0
Downloads
0
Comments
3
Likes
13
Embeds 0
No embeds

No notes for slide

Managing Healthcare Britain

  1. 1. Managing Healthcare Case study of Britain
  2. 2. Origins of the Welfare State <ul><li>Sir William Beveridge in 1942 </li></ul><ul><li>duty of government to provide basic help </li></ul><ul><li>duty of government to end poverty, disease </li></ul><ul><li>and unemployment </li></ul><ul><li>help should not be too generous </li></ul><ul><li>Britain after World War II </li></ul><ul><li>high unemployment and poverty </li></ul><ul><li>‘ cradle to grave’ policy: minimum standard </li></ul><ul><li>for a decent life </li></ul>
  3. 3. 1. Nationalisation of Utilities and Industries <ul><li>Challenges faced: </li></ul><ul><li>need to ensure major services remain affordable </li></ul><ul><li>create employment </li></ul><ul><li>How were challenges handled? </li></ul><ul><li>government took over management of public </li></ul><ul><li>utilities </li></ul><ul><li>government took over management of some </li></ul><ul><li>major industries </li></ul>? Means of Achieving the Welfare State
  4. 4. 2. Provision of Social Welfare <ul><li>Challenges faced: </li></ul><ul><li>need to ease hardship caused by poverty, handicaps, </li></ul><ul><li>sickness or unemployment </li></ul><ul><li>How were challenges handled? </li></ul><ul><li>provision of wide range of benefits – social welfare </li></ul><ul><li>passed law in late 1940s – payment of welfare benefit </li></ul><ul><li>to poor citizens </li></ul>Means of Achieving the Welfare State
  5. 5. 3. Provision of Health and Medical Care <ul><li>Challenges faced: </li></ul><ul><li>need to provide health service for people </li></ul><ul><li>How were challenges handled? </li></ul><ul><li>created NHS in 1948 </li></ul><ul><li>all health care services under Ministry of Health </li></ul><ul><li>Free Healthcare-need not pay money </li></ul>Means of Achieving the Welfare State
  6. 6. ‘Cradle-to-grave’ benefits <ul><li>Maternity grant and allowance </li></ul><ul><li>Child benefit </li></ul><ul><li>Sickness, injury, unemployment </li></ul><ul><li>Retirement pension </li></ul><ul><li>Death grant </li></ul>
  7. 7. What is the message of the cartoon?
  8. 8. Challenges faced by NHS <ul><li>Unable to cope with the rising demand for free medical care – inefficiency and drop in the quality of care </li></ul><ul><li>Doctors recommended medical treatment freely without much consideration for cost </li></ul><ul><li>Increased government spending on healthcare means higher taxation on the people </li></ul>
  9. 9. British Government’s Response to the ensure the sustainability of NHS <ul><li>Managing government spending </li></ul><ul><li>Increasing efficiency </li></ul><ul><li>Providing quality service </li></ul>
  10. 10. 1) Managing government spending <ul><li>1980 – Reduction in government spending </li></ul><ul><li>the government under Margaret Thatcher cut back spending on healthcare </li></ul><ul><li>However, the British were not receptive to her idea of a self-reliant society </li></ul><ul><li>Citizens view the NHS as the most important public good provided by the government and were against the reduction in government spending on healthcare </li></ul>
  11. 11. <ul><li>2000 – A more balanced approach </li></ul><ul><li>Government seeked a more balanced approach in managing government spending while meeting the needs of the people at the same time </li></ul><ul><li>PM Tony Blair increased public spending on healthcare and improved NHS Services </li></ul><ul><li>Drawback: increased spending by government means increased National Insurance contributions in 2003 by the British citizens </li></ul>
  12. 12. 2) Increasing efficiency <ul><li>1980s – The Challenges: </li></ul><ul><li>Increased in the demand for healthcare </li></ul><ul><li>Ageing population meant decreasing pool of taxes </li></ul><ul><li>Higher expectations of citizens for better treatments </li></ul><ul><li>Insufficient resources (doctors, nurses and facilities in hospitals) to cope with the rising demand </li></ul>
  13. 13. <ul><li>Responses to the Challenges in the 1980s: </li></ul><ul><li>Magaret Thatcher introduced the policy of privatisation within the NHS </li></ul><ul><li>Aims of privatisation were to reduce government subsidies, save costs and improve efficiency </li></ul><ul><li>Competition among private companies will mean more benefits for the patients e.g. more choices, better services, less costly etc. </li></ul><ul><li>Measures were met with much resistance </li></ul>
  14. 14. <ul><li>Example of privatisation for NHS hospitals was for contracting out non-medical services such as laundry, catering, cleaning </li></ul><ul><li>British citizens were encouraged to take responsibility for their own welfare and health </li></ul><ul><li>Medicine, dental treatment and services provided by opticians were no longer free </li></ul>
  15. 15. 3) Providing quality service <ul><li>Increased demand led to the drop in standards within the NHS </li></ul><ul><li>Hence providing quality service became the focus based on two plans: </li></ul><ul><li>a) The NHS Plan (2000) </li></ul><ul><li>b) NHS Improvement Plan (2004) </li></ul>
  16. 16. a) NHS Plan (2000) <ul><li>Changes to NHS based on feedback from staff, patients and other stakeholders of healthcare </li></ul><ul><li>Committed to increase in amount of government spending till 2004 </li></ul><ul><li>Pledged to offer faster and more convenient services to patients e.g. letting NHS make use of facilities in private hospitals without have the patient pay for it </li></ul>
  17. 17. b) NHS Improvement Plan (2004) <ul><li>Patients have a choice of four different healthcare providers </li></ul><ul><li>NHS would pay for their treatment </li></ul><ul><li>Patients would have access to their own personal HealthSpace on the Internet where they can see their care records </li></ul><ul><li>Introduction of NHS Direct: provision of medical advice over the phone to patients with minor ailments to that it reduces the strain of NHS doctors having to attend to too many patients </li></ul>
  18. 18. Have the British Healthcare policies met the needs of the people?
  19. 19. Have the British Healthcare policies met the needs of the people?
  20. 20. Have the British Healthcare policies met the needs of the people?
  21. 21. Have the British Healthcare policies met the needs of the people?
  22. 22. Have the British Healthcare policies met the needs of the people?
  23. 23. Have the British Healthcare policies met the needs of the people?
  24. 24. Have the British Healthcare policies met the needs of the people?
  25. 25. Have the British Healthcare policies met the needs of the people?
  26. 26. Have the British healthcare policies met the needs of the people? <ul><li>YES </li></ul><ul><li>Public good based on meeting the needs of the people </li></ul><ul><li>NHS has been used as a model for countries like Sweden, Italy and Spain </li></ul><ul><li>Government seek improvements in NHS over the years through a more balanced approach in increased government spending vs provision of quality healthcare </li></ul>
  27. 27. <ul><li>Free treatment for all </li></ul><ul><li>Improved NHS Services over the years – shorter waits for treatments today compare to the past </li></ul><ul><li>Government committed to keep up with the changing needs of the people in healthcare through reforms in the NHS over the last 50 years </li></ul>
  28. 28. <ul><li>NO </li></ul><ul><li>Standards in some areas of UK remain low </li></ul><ul><li>Long waiting lists and inefficiency of the system is still present </li></ul><ul><li>Insufficient doctors and nurses is a pressing problem in present day </li></ul><ul><li>Dangers of abuse to the system </li></ul><ul><li>Heavy reliance on government spending in healthcare means inefficient distribution of budget to other sectors </li></ul><ul><li>Many citizens are still unhappy with NHS Services </li></ul>

×