These are the charts and figures from our briefing on what the UK leaving the EU might mean for funding of the NHS in England. We outline the current state of finances for NHS providers in 2015/16, what this implies for the total Department of Health budget, and the scale of the financial challenge facing the health service for the near future.
This slidepack contains figures and charts from analysis that is an update to the April 2015 Health Foundation report, 'Hospital finances and productivity: in critical condition?'
The analysis shows that the productivity of acute hospitals in England has continued to deteriorate. Overall, the productivity of acute hospitals increased by only 0.3% between 2009/10 and 2014/15 – an average rate of 0.1% per year. Between 2009/10 and 2014/15 as a whole, activity growth and input growth have converged leading to the very low level of annual average productivity growth.
A perfect storm: an impossible climate for NHS providers' finances? (Slidepac...The Health Foundation
This is a slidepack of figures from our report on the financial performance of the NHS in England. The main focus is on the finances of NHS providers and the financial position of the commissioners of care (NHS England and clinical commissioning groups).
The report examines commissioners’ budgets and how spending has changed by type of provider, as well as the specific issues facing NHS providers. It also includes the findings of a statistical analysis that set out to identify factors that are most strongly associated with an acute or specialist provider’s deficit.
NHS finances: the challenge all political parties need to face - updated tabl...The Health Foundation
View the full set of charts and tables from our 2015 briefing 'NHS finances: the challenge all political parties need to face' - some of the data was updated in May 2015 and this slidepack reflects those updates.
NHS finances: the challenge all policital parties need to face - charts and t...The Health Foundation
The NHS is one of the key issues of public concern in the run up to the 2015 general election and levels of concern have increased.
We have analysed the funding issues facing the NHS. This slidepack includes all the charts and tables from our research.
Find out more at wwww.health.org.uk/fundingbriefing
Mercer Capital's Value Focus: Laboratory Services | Mid-Year 2014Mercer Capital
Mercer Capital's Laboratory Services Industry newsletter provides perspective on valuation issues. Each newsletter also typically includes a macroeconomic trends, industry trends, and guideline public company metrics.
Anita Charlesworth: Trends in health spending & productivityNuffield Trust
In this audio slideshow, Anita Charlesworth, Chief Economist, Nuffield Trust, describes the key findings from our research examining patterns of spending on health, drawing on the accounts data of hundreds of strategic health authorities (SHAs), hospital and mental health trusts, and commissioning organisations dating back to 2003/4.
The full findings were published in the report: The anatomy of health spending 2011/12: a review of NHS expenditure and labour productivity (Nuffield Trust, March 2013), which forms part of an ongoing research programme the Nuffield Trust is undertaking, supported by PwC and McKesson.
This slidepack contains figures and charts from analysis that is an update to the April 2015 Health Foundation report, 'Hospital finances and productivity: in critical condition?'
The analysis shows that the productivity of acute hospitals in England has continued to deteriorate. Overall, the productivity of acute hospitals increased by only 0.3% between 2009/10 and 2014/15 – an average rate of 0.1% per year. Between 2009/10 and 2014/15 as a whole, activity growth and input growth have converged leading to the very low level of annual average productivity growth.
A perfect storm: an impossible climate for NHS providers' finances? (Slidepac...The Health Foundation
This is a slidepack of figures from our report on the financial performance of the NHS in England. The main focus is on the finances of NHS providers and the financial position of the commissioners of care (NHS England and clinical commissioning groups).
The report examines commissioners’ budgets and how spending has changed by type of provider, as well as the specific issues facing NHS providers. It also includes the findings of a statistical analysis that set out to identify factors that are most strongly associated with an acute or specialist provider’s deficit.
NHS finances: the challenge all political parties need to face - updated tabl...The Health Foundation
View the full set of charts and tables from our 2015 briefing 'NHS finances: the challenge all political parties need to face' - some of the data was updated in May 2015 and this slidepack reflects those updates.
NHS finances: the challenge all policital parties need to face - charts and t...The Health Foundation
The NHS is one of the key issues of public concern in the run up to the 2015 general election and levels of concern have increased.
We have analysed the funding issues facing the NHS. This slidepack includes all the charts and tables from our research.
Find out more at wwww.health.org.uk/fundingbriefing
Mercer Capital's Value Focus: Laboratory Services | Mid-Year 2014Mercer Capital
Mercer Capital's Laboratory Services Industry newsletter provides perspective on valuation issues. Each newsletter also typically includes a macroeconomic trends, industry trends, and guideline public company metrics.
Anita Charlesworth: Trends in health spending & productivityNuffield Trust
In this audio slideshow, Anita Charlesworth, Chief Economist, Nuffield Trust, describes the key findings from our research examining patterns of spending on health, drawing on the accounts data of hundreds of strategic health authorities (SHAs), hospital and mental health trusts, and commissioning organisations dating back to 2003/4.
The full findings were published in the report: The anatomy of health spending 2011/12: a review of NHS expenditure and labour productivity (Nuffield Trust, March 2013), which forms part of an ongoing research programme the Nuffield Trust is undertaking, supported by PwC and McKesson.
Financial pressures on the NHS are continuing to mount, with experts predicting a worrying £2 billion deficit in the NHS budget in 2015/16. With the supply of funding struggling to match growing demand, the NHS finds itself facing an unprecedented financial challenge.
This infographic pulls together the latest facts and figures on NHS finances and the pressures on its purse, painting a picture of a service at boiling point. The NHS Confederation is calling for a commitment from politicians for a ten-year spending settlement on the NHS to give members the space to release the pressure.
This is a presentation on aspects of the recent performance of the UK economy. All students are expected to have a good contextual knowledge of recent trends in indicators such as economic growth, inflation, unemployment, the trade balance, interest rates and government borrowing.
John Appleby, Chief Economist for The King's Fund, talks us through the productivity challenge facing the NHS, and discusses our new publication Improving NHS productivity: More with the same not more of the same.
The Saturday Economist, UK Economic Outlook June 2016John Ashcroft
Growth in 2015 was 2.3% down from 2.9% in 2014. We now expect growth of 2.2% in 2016 … following the disappointing performance of manufacturing and construction in the first quarter.
The inflation outlook is still muted, with the fall in world oil, energy, food and commodity prices continuing to dominate headline inflation.
The UK economy grew by 2.0% in the first quarter, revisions to construction and manufacturing growth pulling total output lower. The service sector continues to drive growth.
In this June economics update we forecast world growth of 3.2% in 2016 up from 3.1% in 2015. UK Inflation will average just 0.3%, CPI basis, over the balance of the year 2016. Unemployment will continue to fall, government borrowing will also fall. The service sector will lead the recovery as manufacturing and construction output falls slightly.
We are forecasting a modest fall in manufacturing of around 0.2% in 2016 with a 0.9% fall in construction activity based on the latest data. The trade figures will continue to disappoint, offset by a further £2 billion oil dividend, despite a moderate oil price recovery. The challenge to the current account following the drop in overseas investment income continues and will present a significant problem to the outlook for sterling over the medium term.
Our forecast is based on a "remain" referendum outcome! .
Demographic Change and Expenditure Pressures in IrelandDaragh McCarthy
Presentation by Dr Thomas Conefrey—Chief Economist, Irish Fiscal Advisory Council—focuses on government spending and presents preliminary work that attempts to quantify the likely pressures on the government finances in Ireland due to population ageing and other demographic trends over the next 50 years.
Facts and Investment Opportunities in UK NHSChen Cao
This deck of presentation contains facts and investment opportunities in UK NHS after its newly restructuring, targeting on investors as primary audience base.
A connected community working together to improve health and care quality across the UK. Presentation by Penny Pereira, Deputy Director of Improvement at the Health Foundation.
Q is an initiative, led by the Health Foundation and supported and co-funded by NHS England, connecting people skilled in improvement across the UK.
Q will make it easier for people from all parts of the health care system with expertise in improvement to share ideas, enhance their skills, and make changes that benefit patients.
Financial pressures on the NHS are continuing to mount, with experts predicting a worrying £2 billion deficit in the NHS budget in 2015/16. With the supply of funding struggling to match growing demand, the NHS finds itself facing an unprecedented financial challenge.
This infographic pulls together the latest facts and figures on NHS finances and the pressures on its purse, painting a picture of a service at boiling point. The NHS Confederation is calling for a commitment from politicians for a ten-year spending settlement on the NHS to give members the space to release the pressure.
This is a presentation on aspects of the recent performance of the UK economy. All students are expected to have a good contextual knowledge of recent trends in indicators such as economic growth, inflation, unemployment, the trade balance, interest rates and government borrowing.
John Appleby, Chief Economist for The King's Fund, talks us through the productivity challenge facing the NHS, and discusses our new publication Improving NHS productivity: More with the same not more of the same.
The Saturday Economist, UK Economic Outlook June 2016John Ashcroft
Growth in 2015 was 2.3% down from 2.9% in 2014. We now expect growth of 2.2% in 2016 … following the disappointing performance of manufacturing and construction in the first quarter.
The inflation outlook is still muted, with the fall in world oil, energy, food and commodity prices continuing to dominate headline inflation.
The UK economy grew by 2.0% in the first quarter, revisions to construction and manufacturing growth pulling total output lower. The service sector continues to drive growth.
In this June economics update we forecast world growth of 3.2% in 2016 up from 3.1% in 2015. UK Inflation will average just 0.3%, CPI basis, over the balance of the year 2016. Unemployment will continue to fall, government borrowing will also fall. The service sector will lead the recovery as manufacturing and construction output falls slightly.
We are forecasting a modest fall in manufacturing of around 0.2% in 2016 with a 0.9% fall in construction activity based on the latest data. The trade figures will continue to disappoint, offset by a further £2 billion oil dividend, despite a moderate oil price recovery. The challenge to the current account following the drop in overseas investment income continues and will present a significant problem to the outlook for sterling over the medium term.
Our forecast is based on a "remain" referendum outcome! .
Demographic Change and Expenditure Pressures in IrelandDaragh McCarthy
Presentation by Dr Thomas Conefrey—Chief Economist, Irish Fiscal Advisory Council—focuses on government spending and presents preliminary work that attempts to quantify the likely pressures on the government finances in Ireland due to population ageing and other demographic trends over the next 50 years.
Facts and Investment Opportunities in UK NHSChen Cao
This deck of presentation contains facts and investment opportunities in UK NHS after its newly restructuring, targeting on investors as primary audience base.
A connected community working together to improve health and care quality across the UK. Presentation by Penny Pereira, Deputy Director of Improvement at the Health Foundation.
Q is an initiative, led by the Health Foundation and supported and co-funded by NHS England, connecting people skilled in improvement across the UK.
Q will make it easier for people from all parts of the health care system with expertise in improvement to share ideas, enhance their skills, and make changes that benefit patients.
Do people support raising taxes to maintain the NHS? Do they think care has got better, worse, or stayed the same?
Our pack of infographics pulls out the take-home messages from recent polls on what the public really want from the NHS, ahead of the 2015 general election.
With the NHS as the main area of public interest in the run-up to the 2015 general election, the Health Foundation and Ipsos MORI have conducted just under 1,800 interviews with adults across Great Britain to understand what the public thinks about the issues that are shaping debate on the NHS.
These are the charts from a Health Foundation report where we examine the financial performance of NHS providers, focusing on hospitals.
We identify areas of cost pressure using their financial accounts up to 2013/14 and quarterly reporting data up to December 2014 (Q3 2014/15). We also examine trends in efficiency and productivity from 2009/10 to 2013/14.
www.health.org.uk
This presentation was given by our Chief Executive, Dr Jennifer Dixon, to the International Improvement Science and Research Symposium at the 2014 International Forum on Quality and Safety in Healthcare.
The four health systems of the United Kingdom: how do they compare?The Health Foundation
This slide set shows the top level messages and findings from a report published by the Health Foundation and the Nuffield Trust, assessing the performance of the NHS on the quality of patient care in all four UK countries since devolution.
This presentation, by Professor Eugene Nelson from the Dartmouth Institute, looks at measuring what matters to patients and some specific case studies and examples.
To view a video of the presentation with sound/narrative, go to:
http://www.health.org.uk/multimedia/slideshow/measuring-what-matters-to-patients-concepts-and-cases/
Hard data and soft intelligence: how can we know if care is safeThe Health Foundation
This presentation was given at the Health Foundation's 'What matters in measurement' event in January 2014.
To view a video of the presentation with sound/narrative, go to:
http://www.health.org.uk/multimedia/slideshow/hard-data-soft-intelligence/
In this presentation, Jonathan Riddell Bamber looks at a new proposed framework to help answer the question 'how safe is care today?'
The framework is from a report by Charles Vincent, Susan Burnett and Jane Carthey of Imperial College London, commissioned by the Health Foundation.
The framework highlights five dimensions which the authors believe should be included in any safety and monitoring approach in order to give a comprehensive and rounded picture of an organisation’s safety.
The Health Foundation is exploring how to develop and adapt the framework discussed in this presentation.we are seeking the thoughts and insights of a wide range of stakeholders – including those with a specialist role in patient safety, those involved in direct care delivery, patients and carers and the public in general.
If you would like to share your thoughts, please complete our response form at https://www.surveymonkey.com/s/safetymeasurement or email measurement@health.org.uk by 1 July 2013.
The form includes the following questions:
Does the framework in this report reflect your experience of healthcare?
Are there other dimensions of safety and how would this framework relate to them?
Would using this framework make it easier for you to know whether care is safe?
Please tell us how you could use this framework.
What do you think needs to be done to help you use the framework in practice?
How could the intelligence from the framework be used to improve care?
We will share what we learn widely to help those involved in patient safety work. We will also use the responses to help develop our thinking about how to improve patient safety.
What we know about how to improve quality and safety in hospitals - Mary Dixo...The Health Foundation
Professor Mary Dixon-Woods looks at improving the quality and safety of care in hospitals, and suggests that we need to take a three-pronged approach: ensuring we are collecting the right data and interpreting it intelligently, looking at the systems we work in and finally how culture and behaviour impact on quality of care.
To watch this presentation with accompanying audio/narration, go to:
http://www.health.org.uk/multimedia/slideshow/what-we-know-about-how-to-improve-quality-and-safety-in-hospitals/
Natalie Grazin, Assistant Director at the Health Foundation, talks through the theories and evidence behind self management support of long term conditions.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
1. NHS finances outside
the EU
Health Foundation analysis of the impact on NHS
finances of the UK leaving the European Union
July 2016
2. Annual change in NHS spend per head in England, real terms,
2010/11–2020/21
July 2016 NHS finances outside the EU
3. OBR projections for economic growth, March 2016
July 2016 NHS finances outside the EU
2015 2016 2017 2018 2019
GDP real terms annual growth 2.2 2.0 2.2 2.1 2.1
Public sector net borrowing
as % GDP 3.8 2.9 1.9 1.0 -0.5
Inflation (CPI) 0 0.7 1.6 2 2.1
GDP deflator 0.3 1.1 1.9 2.0 1.9
4. Forecasts of change to GDP in 2030/31 following UK
leaving the EU
July 2016 NHS finances outside the EU
5. Estimated fall in budget for the Department of Health
July 2016 NHS finances outside the EU
6. Impact of NIESR forecast on planned budget surplus,
and impact of £100m a week increase
July 2016 NHS finances outside the EU
7. Recent spending against the Department of Health budget,
2010/11–2014/15 (cash terms)
July 2016 NHS finances outside the EU
9. Agency staff cost 2013/14–2015/16
July 2016 NHS finances outside the EU
10. Annual change in hospital productivity, 2009/10–2014/15
July 2016 NHS finances outside the EU
11. NHS England cash increase for 2016/17 – the impact of cost
and demand pressures and efficiency savings
July 2016 NHS finances outside the EU
12. NHS funding gap scenarios
July 2016 NHS finances outside the EU
Funding gap in 2019/20 (£bn, 2016/17 prices)
Efficiency
growth
Gap based on
current budget
Gap based on possible new
budget if the UK leaves the EU
0.0% £11.9 £14.7
1.0% £7.2 £10.0
1.5% £5.0 £7.8
2–3% £0.5 £3.3
13. NHS funding gap scenarios, 2015/16–2019/20
July 2016 NHS finances outside the EU
14. Potential funding gap for the Department of Health in 2030/31
July 2016 NHS finances outside the EU
15. About us
We shine a light on
how to make successful
change happen
The Health Foundation is an
independent charity committed
to bringing about better health
and health care for people
in the UK.
We connect what works
on the ground with
effective policymaking
and vice versa.
July 2016 NHS finances outside the EU
16. Stay in touch
@Healthfdn
health.org.uk
• Subscribe to our email
newsletter
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to be notified about our
latest work
• Follow us on Twitter,
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or Linkedin
July 2016 NHS finances outside the EU