Health Financing Summit

        04.14.10
The National Health Service
of the United Kingdom

By British Ambassador Stephen Lillie
Health Financing Summit, 14 April ...
The UK National Health Service

>  founded in 1948
>  3 core principles:
   > It meets the needs of everyone.
   > It is f...
The UK NHS


             > 90,000 hospital doctors,
             > 35,000 general practitioners,
             > 400,000 n...
In the 1990s, despite many achievements,
it had become outdated and had systemic
problems
> underfunded
> understaffed
> l...
Major investments


              > facilities
              > staff
              > reforms
              > institutions
The NHS structure




Source: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhsstructure.aspx
The NHS today

Shaped around the needs and preferences
of individual patients



>  rovides access to a comprehensive
  p
...
NHS expenditure




   Sources: ONS, Annual Abstract of Statistics: 2008, Table 10.22, and earlier editions; ONS database,...
Misconceptions about the NHS

>  “Old people are denied prescribed drugs, treatment and surgery.”
>  “The NHS denies state...
The NHS today


>  universal
>  comprehensive
>  efficient
>  cost-effective
>  egalitarian
>  innovative




            ...
Health Financing Summit

        04.14.10
HFS Lillie
Upcoming SlideShare
Loading in …5
×

HFS Lillie

368 views

Published on

  • Be the first to comment

  • Be the first to like this

HFS 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 >  founded in 1948 >  3 core principles: > It meets the needs of everyone. > It is free at the point of delivery. > It is based on clinical need, not ability to pay. >  delivered major improvements in health >  has a proud history of innovation
  4. 4. The UK NHS > 90,000 hospital doctors, > 35,000 general practitioners, > 400,000 nurses, and > 6,000 ambulance staff > 1m patients every 36 hours > 700,000 dental visits every week > 3,000 heart operations a week
  5. 5. In the 1990s, despite many achievements, it had become outdated and had systemic problems > underfunded > understaffed > lacked national standards > had old-fashioned demarcations between staff > had barriers between services > lacked clear incentives and levers to improve performance > over-centralised > disempowered patients
  6. 6. Major investments > facilities > staff > reforms > institutions
  7. 7. The NHS structure Source: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhsstructure.aspx
  8. 8. The NHS today Shaped around the needs and preferences of individual patients >  rovides access to a comprehensive p range of services >  rovides choices p >  elps reduce health inequalities h >  orks with stakeholders w >  elps keep people healthy h
  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 >  “Old people are denied prescribed drugs, treatment and surgery.” >  “The NHS denies state-of-the-art drugs to cancer patients.” >  “Patients have no choice about their treatment.” >  “Women under 25 are not allowed a cervical smear test in the England because its too expensive.” >  “Patients have to wait a very long time to be seen by a doctor or to receive treatment.”
  11. 11. The NHS today >  universal >  comprehensive >  efficient >  cost-effective >  egalitarian >  innovative *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. Health Financing Summit 04.14.10

×