Facts and figures on the NHS at 70

Transcription

1 Facts and figures on the NHS at 70

2 1. We spend a lot more on healthcare UK health spending as a % of GDP The UK health budget in cash terms ( bn) UK health spending per head ( ) Sources: data from Office of Health Economics; data from HM Treasury 2

3 2. There are more staff Full time nurses 1949 () Full time hospital doctors 1949 () Full time GPs 1961 () () 60, ,093 11, ,960 20,865 39,843 Source: Nuffield Trust analysis of NHS Digital data 3

4 3. which means fewer people per staff member People per nurse 1949 People per hospital doctor 1949 People per GP Sources: Nuffield Trust analysis of NHS Digital data; population data from ONS 4

5 4. The biggest killers have changed over time Deaths from heart disease (% of all deaths) and Deaths from stroke (% of all deaths) and Deaths from cancer (% of all deaths) and Source: Nuffield Trust analysis of 20 th Century Mortality Files and 21 st Century Mortality Files, Office for National Statistics 5

6 4. The biggest killers have changed over time Deaths from tuberculosis (% of all deaths) and Deaths from diabetes (% of all deaths) and Deaths from senility and dementia (% of all deaths) and Source: Nuffield Trust analysis of 20 th Century Mortality Files and 21 st Century Mortality Files, Office for National Statistics 6

7 5. People live 13 years longer than in Life expectancy in and Wales, Males Females Source: Office for National Statistics, 2016 based and Wales period life expectancies, to

8 6. Deaths of babies have reduced hugely Infant mortality (under 1 year) per 1000 live births 2016 and Neonatal mortality (under 1 month) per 1000 live births 2016 and Stillbirths per 1000 live births 2016 and Source: Office for National Statistics, Vital statistics: population and health reference tables November 8

9 6. We re prescribing more drugs than ever before Number of prescriptions 1949 UK 2016 UK Prescription charges per item Scotland, Wales & NI 225 million 1.3 billion (exemptions for certain groups) 0 Source: 1949 data from Office of Health Economics; 2016 data from NHS Digital, Welsh Government, IDS Scotland, NI Government 9

10 7. Eye care and dentistry NHS glasses provided (UK) / Proportion of population with no teeth million 5.17 million* *vouchers 37% 6% Source: /49 data from National Archives; 2016 data from NHS Digital, ISD Scotland, StatsWales and HSC NI Source: Adult Dental Health Survey for, Wales and NI,

11 How good is the NHS? Compared to 18 similar countries, the NHS gets a mixed scorecard Strengths Weaknesses It provides unusually good financial protection from the consequences of ill health The NHS does worse than the average in the treatment of 8 out of the 12 most common causes of death It is relatively efficient with lower than average admin costs and a high rate of generic prescribing It performs well in managing patients with some long-term conditions like diabetes and kidney diseases It has consistently higher rates of death for babies at birth and within a month It has lower levels of staff in all categories except midwives, and the lowest levels of CT and MRI scanners Source: Dayan M, Gardner T, Kelly E and Ward D (2018) How good is the NHS? Nuffield Trust. 11

12 Key events from history The beginning July 1946: The NHS Act is published July 5 th : The NHS comes into being April 1951: Charges introduced for glasses and dentistry Picture credits: Wikimedia Commons, Department of Health, IWM ((MOW) L 55651)

13 Key events from history Reviews and reforms December 1956: The Guillebaud Commission, asked by the Treasury to look into rising NHS costs, finds the system is sustainable October 1983: The Griffiths Report calls for the introduction of professional managers in the NHS June 1990: The NHS and Community Care Act introduces competition and the internal market, creating NHS Trusts Picture credits: Public Health Image Library, #8990, CDC/Barbara Jenkins, NIOSH, Wikimedia Commons, istockphoto #

14 Key events from history Reviews and reforms 1999: Powers over the Scottish and Welsh health services are devolved July 2000: The NHS Plan kicks off an era of big spending increases and a drive to cut waiting times April 2004: NHS Foundation Trusts introduced in, designed to be more autonomous Picture credits: World Economic Forum, Wikimedia Commons, Department of Health, Nuffield Trust

15 Key events from history Reviews and reforms March 2012: Andrew Lansley s Health and Social Care Act creates NHS and the current system of Clinical Commissioning Groups 2014: NHS publish the Five Year Forward View, outlining options for how local health communities can create new ways of organising and delivering patient care 2018: The Government pledges an additional 20bn for the NHS in over 5 years Picture credits: Nuffield Trust, No 10 Downing Street

16 If you would like to speak to one of our experts, please contact our press office on or by ing or one of our press team below: Leonora Merry: / / leonora.merry@nuffieldtrust.org.uk Kirsty Ridyard: / / kirsty.ridyard@nuffieldtrust.org.uk Mark Dayan: / / mark.dayan@nuffieldtrust.org.uk Fiona Johnson: / fiona.johnson@nuffieldtrust.org.uk