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NHS finances outside
the EU
Health Foundation analysis of the impact on NHS
finances of the UK leaving the European Union
July 2016
Annual change in NHS spend per head in England, real terms,
2010/11–2020/21
July 2016 NHS finances outside the EU
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
Forecasts of change to GDP in 2030/31 following UK
leaving the EU
July 2016 NHS finances outside the EU
Estimated fall in budget for the Department of Health
July 2016 NHS finances outside the EU
Impact of NIESR forecast on planned budget surplus,
and impact of £100m a week increase
July 2016 NHS finances outside the EU
Recent spending against the Department of Health budget,
2010/11–2014/15 (cash terms)
July 2016 NHS finances outside the EU
NHS provider surplus/deficit, 2013/13–2015/16
July 2016 NHS finances outside the EU
Agency staff cost 2013/14–2015/16
July 2016 NHS finances outside the EU
Annual change in hospital productivity, 2009/10–2014/15
July 2016 NHS finances outside the EU
NHS England cash increase for 2016/17 – the impact of cost
and demand pressures and efficiency savings
July 2016 NHS finances outside the EU
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
NHS funding gap scenarios, 2015/16–2019/20
July 2016 NHS finances outside the EU
Potential funding gap for the Department of Health in 2030/31
July 2016 NHS finances outside the EU
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
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July 2016 NHS finances outside the EU
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NHS finances outside the EU

  • 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
  • 8. NHS provider surplus/deficit, 2013/13–2015/16 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 • Register for email alerts to be notified about our latest work • Follow us on Twitter, Facebook, youTube or Linkedin July 2016 NHS finances outside the EU

Editor's Notes

  1. Public Expenditure Statistical Analyses 2015 Comprehensive Spending Review 2015
  2. IMF Country Report. (2016). United Kingdom: Selected Issues.
  3. Department of Health Annual Report and Accounts 2014-15
  4. Department of Health Annual Report and Accounts 2014-15
  5. Department of Health Annual Report and Accounts 2014-15
  6. Year-end reports by Monitor/NHS Improvement
  7. Year-end reports by Monitor/NHS Improvement
  8. Year-end reports by Monitor/NHS Improvement
  9. Year-end reports by Monitor/NHS Improvement
  10. Health Foundation modelling