uk health spending compared to other countriesuk health spending compared to other countries

The Department of Health and Social Care did not respond directly to the Kings Funds findings. Observational study using secondary data from key international organisations such as Eurostat and the Organization for Economic Cooperation and Development. The reality is much different. The NHS showed pockets of good performance, including in health service outcomes, but spending, patient safety, and population health were all below average to average at best. PDF How does the NHS compare to the health care systems of other countries Prevalence of diabetes was lower in the UK than the average of the group (UK, 4.3%; study average, 6.3%; OECD, 6.5%; EU, 6.1%), but the prevalence of depression and dementia were about average (depression: UK, 2.9%; study average, 2.8%; OECD, 2.6%; EU, 2.6%; dementia: UK; 17; study average, 16.4; OECD, 14.8; EU, 15.8 per 1000 population). The 118-page report compares the resources available to the NHS across the UK, and its performance, with those of the health systems in countries including France, Germany, Sweden, Japan, Singapore and the US. Bookshelf In each table, we present the average of each indicator across all 10 countries including the UK, along with the averages of OECD and European Union member countries. "Public sector expenditure on health in the United Kingdom from 1998/99 to 2021/22 (in billion GBP)." Sarah Reed, Laura Schlepper and John Appleby analyse how health spending has changed across different countries in response to the pandemic, and assess why the UK may have spent more comparatively. Several factors contribute to the relatively low expenditure in the UK, including lower levels of doctor and nurse staffing, lower rates of utilisation, and less provision of long term care than comparators. Data came from a range of databases compiled by international organisations, with most coming from the OECD. how well the health care systems uses its resources and what it achieves as a result (eg, measures of efficiency in delivering services, quality of care, financial protection from the costs of ill health, and health care outcomes). National Library of Medicine Finally, the UK seems to have much higher rates of informal care than the comparator countries, with high proportions of the workforce reporting that they are out of work or in part time employment because they are providing care.14 In 2017 long term care made up the second largest category of private household spending in the UK, accounting for 36% of out of pocket spending, after spending on medical goods which accounted for 38%.15 In both healthcare and areas of social spending, expenditures coming from the public purse are declining and greater amounts are coming from private sources. In the area of quality, the focus was on indicators that captured quality of prevention, primary care, and inpatient care, across the areas of appropriateness, effectiveness, experience, and safety. sharing sensitive information, make sure youre on a federal As a result of large improvements in the UK in recent years, smoking rates in 2017 were below average compared with comparator countries, the OECD, and the EU (UK, 16.1%; study average, 16.5%; OECD, 18.4%; EU, 20.1%). But despite having lower increases, even . We haveopened 108 new community diagnostic centres and these have delivered over four million tests, checks and scans since July 2021, supporting patients to be diagnosed and access treatment more quickly. Firstly, the data presented in this paper are purely descriptive; we did no statistical analyses to determine whether the UKs performance was statistically different from that of the comparator countries. The sobering findings come 10 days before celebrations across the four home nations to mark the 75th anniversary of the NHSs creation on 5 July 1948 by the postwar Labour government. The proportion of foreign trained doctors as a percentage of total doctors in the UK in 2017 was greater than the mean of comparators and higher than the OECD and EU average (UK, 28.6%; study average, 21.4%; OECD, 18.2%; EU, 12.4%) (table 3). In the same period, real public spending on social care fell by 1% and spending on adult social care fell by 6.4%.2 As a result of the great fiscal pressure facing the National Health Service (NHS), there has been an increased effort to improve the efficiency of the health system by various means including, but not limited to, reductions in reimbursement rates, staff freezes, and cuts to administrative and prescribing costs.34 Since 2009 productivity in the NHS has risen faster than in other sectors of the British economy, but recent strikes have brought matters such as staffing gaps, inadequate pay, and patient safety to global attention.5. articles a month for anyone to read, even non-subscribers! It also praises the NHS for its efficiency, low use of second-line antibiotics and management of diabetes. We found that both in absolute magnitude and as a proportion of the population, migrants in the UK make up less of the population than the average of comparator countries. Ethical approval: Not needed, as the study relied solely on secondary, aggregated data and involved no human participants. Since then I can only say that my experience of the Spanish system has and continues to be far superior to that of the UK system. This spending represents around 45 per cent of overall government outlay on goods and services in the UK, according to the Office for . The UK also spends a relatively low share of its health budget on administration. Data + Interactives Editor, The Conversation. Annual inflow of foreign trained workforce in UK. Published by D. Clark , Aug 24, 2022. December 6, 2022 In 1980, life expectancy at birth in the U.S. and in comparably large and wealthy countries was similar, but over recent decades, life expectancy has improved by much more in peer nations than it has in the U.S. Read our community guidelines in full, Ukraine-Russia war live: Prigozhin rushed mutiny after FSB discovery, Doctor too anxious to drive to work wins discrimination case against NHS, Triple lock will be protected by Tories in next election, Elysee food leaves bitter taste for Brazils greedy leader, We want patients to have more choice over their NHS care, says Steve Barclay, Britains millennials have been left with nothing, underperforming significantly on cancer, High fatality rate and sharpest fall in routine surgery, insufficient capacity to meet increasing demand, to improve services and cut waiting lists. There are fewer CT and MRI scanners than in any of the other countries studied, and the number of hospital beds is the second smallest, owing to historical underinvestment in capital spending. In comparison to other European countries, this ranked the UK seventh in terms of health expenditure in 2019. Expressed as a proportion of gross domestic product (GDP), the picture was similar, with the UK spending approximately 8.7% of GDP compared with the study average of 11.5% of GDP in 2017 (fig 1). UK health spending over past decade lags behind Europe by 40bn a year (In this relationship between health spending and wealth, for every $1000 increase in GDP per person, you would expect health spending to rise by about $120 per person.) With the pandemic continuing, the total picture of how health spending will change across different countries remains to be seen. Michelle Mitchell, Cancer Research UKs chief executive, urged ministers to make smoking obsolete, increasing the number of cancer screenings and plugging gaps in the cancer workforce to improve diagnosis and survival. Statista. News stories, speeches, letters and notices, Reports, analysis and official statistics, Data, Freedom of Information releases and corporate reports. Third, we analysed the latest quantitative performance data for the UK health care system and the health systems of 18 higher-income peer countries. While cataract surgery fell by 47 per cent in Britain between 2019 and 2020, Germany saw a dip of just three per cent. PMC The Department of Health and Social Care said: This report recognises the NHS is one of the most efficiently run healthcare systems and we are investing up to 14.1 billion to improve services and cut waiting lists, one of the Governments top five priorities. Access to healthcare in UK and comparator countries, 2017 and change from 2010. Objective: Several other countries either copy the U.K.'s model or directly rely on Britain's assessments for their own decisions on . Published by the BMJ Publishing Group Limited. Countries that have spent a larger share of their economic wealth on health over time like Austria, Germany, Sweden, Norway and the Netherlands appeared to have more stable levels of funding in 2020. Anandaciva dismissed assertions by ministers in recent years that Covid-19 was to blame for much of the NHSs increasing fragility and inability to provide urgent care promptly. HHS Vulnerability Disclosure, Help 2. 2 3 4. Recent figures on migration of health professionals for the UK show that the annual inflow of EU doctors and nurses has fallen since 2015. They will not stop this privatisation until the last department is run by Private Companies. The increase in UK spending may, however, also reflect the UKs structural vulnerabilities going into the pandemic. Among the European countries where preventable deaths and treatable deaths are measured, the UK had greater than average rates of preventable deaths compared with the study average (UK, 154; study average, 139 deaths/100000 population), and the highest rates of amenable deaths (UK, 90; study average, 72 deaths/100000 population). technical support for your product directly (links go to external sites): Thank you for your interest in spreading the word about The BMJ. Objective To determine how the UK National Health Service (NHS) is performing relative to health systems of other high income countries, given that it is facing sustained financial pressure, increasing levels of demand, and cuts to social care. Taken together, these results suggest that if the NHS wants to achieve comparable health outcomes at a time of growing demographic pressure, it may need to spend more to increase the supply of labour and long term care and reduce the declining trend in social spending to match levels of comparator countries. The NHS trails behind its international cousins on some key markers of a good healthcare system. Overview and forecasts on trending topics, Industry and market insights and forecasts, Key figures and rankings about companies and products, Consumer and brand insights and preferences in various industries, Detailed information about political and social topics, All key figures about countries and regions, Market forecast and expert KPIs for 1000+ markets in 190+ countries & territories, Insights on consumer attitudes and behavior worldwide, Business information on 70m+ public and private companies, Detailed information for 35,000+ online stores and marketplaces. Relatively few core NHS services are charged for and certain population groups are exempt from charges. [Volume and health outcomes: evidence from systematic reviews and from evaluation of Italian hospital data]. Design: Directly accessible data for 170 industries from 150+ countries Total current healthcare expenditure in 2020 is estimated at 269 billion, a nominal-terms increase of 20% on spending in 2019. Even countries such as Germany and Singapore, that score highly on several health system performance measures, are facing the challenge of rising demand from a growing and ageing population and the need to improve health care outcomes. How does NHS spending compare with health spending internationally Additional data came from the World Bank, the Institute for Health Metrics Evaluation, and Eurostat. While Britons receive relatively good financial protection from illness, the UK lags behind other nations on average health spending per person, capital investment and waiting times for routine procedures, research published Monday from English health charity The Kings Fund found. We examined the UK and nine comparator high income countries. In addition, we compared all performance metrics with the OECD average and the EU average to allow for a broader comparison. Results The UK spent the least per capita on healthcare in 2017 compared with all other countries studied (UK $3825 (2972; 3392); mean $5700), and spending was growing at slightly lower levels (0.02% of gross domestic product in the previous four years, compared with a mean of 0.07%). The proportion of healthcare expenditures in the UK coming from public sources (general taxation and national insurance contributions, referred to as government/compulsory spending by the OECD) is close to the average of the comparator countries (UK, 79%; study average, 80%), but slightly higher than the averages of OECD and EU member states (OECD, 74%; EU, 75%). Something has gone seriously wrong in the UK with your health system over the last forty years! How does U.S. life expectancy compare to other countries? UK health spending 2022 | Statista The rise and decline of the NHS in England 200020: How political failure led to the crisis in the NHS and social care, The King's Fund responds to the latest NHS performance stats. FOIA In recent years, policy makers in the UK have advocated for more efficiency gains in the healthcare system or, in other terms, the transformation of existing healthcare expenditures into the same amount of, or more, health system outcomes. Taxes and health care funding: how does the UK compare? Health care spending in the United States and other high-income countries, International comparisons of health care expenditures: what we know and what we do not know, A framework for assessing the performance of health systems. Stuff her need to know about this discharge. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. Get quick analyses with our professional research service. Wed like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. Spending on health: how does the UK compare internationally? Life expectancy in the UK has been below the average over the past 20 years, although the gap narrowed over the period 2008-13 to a low of 0.3 years (fig 2). What happened during Covid was much more seismic in our country, the studys lead author said. Healthcare expenditure, UK Health Accounts provisional estimates There are record numbers of staff working in the NHS with over 53,600 more people compared to a year ago, including over 5,400 more doctors and over 12,900 more nurses., Cancer test and treatment delays in UK have put 100,000 lives at risk since 2014, Poor people hit hardest by Covid because of NHS cuts, experts say, Original reporting and incisive analysis, direct from the Guardian every morning, 2023 Guardian News & Media Limited or its affiliated companies. Here we explore a few factors that could explain the variation across countries, and why the UK may have spent more comparatively. Moreover, although the NHS is structured differently across the four countries of the UK, particularly when it comes to the provision of social care (often referred to as long term care), in this paper we consider the performance of all these systems together. People who have a heart attack or stroke are more likely to die as a result than in almost every other country studied, including within 30 days of admission to hospital. Dixon J, Street A, Allwood D. Productivity in the NHS: why it matters and what to do next. Researchers said countries including Germany and Singapore had been able to get back to normal quite quickly because they had sufficient capacity in their systems. It also scored third worst, after the US and Portugal, for efforts to keep citizens healthy. Chart of the week: The pandemic costs how government is providing an additional quarter-trillion funding for Covid-19, Spending Review leaves social care the poor relation and facing uncertainty, Chart of the week: NHS backlog maintenance is shooting through the roof. However, private insurance coverage in the UK was below the average of the comparator countries, as well as the OECD and EU member state average (UK, 10%; study average, 52%; OECD average, 35%; EU average, 32%) and had declined over the previous decade (UK, 1%; study average, 1%; OECD average, 2%; EU average, 3%). O>!=FZ. Keeping up with the Johanssons: How does UK health spending compare In 2017, the UK weary 2,989 at person about healthcare, that was around the median for members in the Organizations for Commercial Co-operation and Development: OECD (2,913 per person). In the UK, government health spending per head of population grew by 21.9% in 2020 compared to 2019 - second only to Estonia (23.5%) among European OECD countries reporting data. Other national surveys of the UK population, such as the British Attitudes Survey, show a growing consensus among the general population that the NHS faces a major or severe funding problem (86% of respondents in 2017, up from 14% in 2014).13 General practitioners views of the health system were not as favourable as in comparator countries, with only 22% of primary care physicians reporting that they thought the healthcare system worked well (compared with the study average of 33%). Nuffield Trust analysis of OECD health expenditure data for European OECD countries where 2020 data is available. UK and Twenty Comparable Countries GDP-Expenditure-on-Health 1980-2013: The Historic and Continued Low Priority of UK Health-Related Expenditure. This output was independently developed, researched and written by The Kings Fund. The work for this project was commissioned by the Association of the British Pharmaceutical Industry (ABPI). How does UK healthcare spending compare with other countries? 2017. This is evidence of efficiency, but it is important to note that good standards of . Archie Bland and Nimo Omer take you through the top stories and what they mean, free every weekday morning. The UK lags behind other countries in its capital investment, and has Instead, a spokesperson said only that: This report recognises the NHS is one of the most efficiently run healthcare systems and we are investing up to 14.1bn to improve services and cut waiting lists, one of the governments top five priorities. In addition, the relative proportion of public social spending decreased, whereas the proportion of public social spending in comparator countries remained relatively constant. And he warned of a deterioration in access to some services, describing very threadbare provision of NHS dentistry. The Spending Review announced a real increase in capital spending for the English NHS of just over 1 billion (around 3.6% a year) by 2024/25 to increase capacity. Unfortunately, comparative detailed data on the performance of the NHS across the four constituent countries of the UK (England, Scotland, Northern Ireland, and Wales), where the NHS is structured differently, are not available. Determinants of life expectancy at birth: a longitudinal study on OECD countries. -. Government expenditure on healthcare, including spending by the NHS, local authorities and other public bodies financing healthcare, was 213.4 billion in 2020. Health spending as a share of GDP (gross domestic product) was just below average in 2019 but rose to just above average in 2020 (the first year of theCovid-19 pandemic, which of course had a significant impact on the UKs economic performance and spending on health services). Secondly, the data available to provide a true apples with apples comparison were limited. Despite the NHSs difficulties, though, support for its founding principles as a taxpayer-funded system that is available to all and free at the point of use remains strong, with little appetite for radical reform. How does NHS spending compare with health spending internationally? Moreover, the number of primary care physicians reporting that the system worked well in 2015 had decreased by 24 percentage points from 2012, compared with a mean change of 8 percentage points across all 10 countries (table 6). statistic alerts) please log in with your personal account. Saoirse Mallorie pulls out just five measures to illustrate the mixed bag of findings from our new report, which analyses how the NHS compares to the health care systems of other countries. Health spending per capita Notes: U.S. value obtained from National Health Expenditure data. The proportion of the population over 65 in the UK was slightly greater than the mean of the OECD member nations (17%), but equal to the mean of EU member nations (18%). Health service outcomes, as well as heath status, are suboptimal. However, UK social spending had been declining at a faster rate than all three groups over the previous five years. eCollection 2023. Would you like email updates of new search results? While the UK government spent $4,306 per capita in 2020 (up from $3,533 in 2019), historic and current investment of the highest spending countries ranged from over $4,000 in 2014 (Germany, Sweden and Norway) to $5,800 in 2020 (Germany and Norway). How does UK healthcare spending compare with other countries? The UK reported among the lowest rate of adults with multiple chronic conditions (UK, 14%; study average, 18%). o{N}P%LHUWESPBPywhPqGIlg$PuT' P!UP1gPU;;GkCTI +/*z?LfO 6 Although several health service outcomes were poor, such as postoperative sepsis after abdominal surgery (UK 2454 per 100 000 discharges; mean 2058 per 100 000 discharges), 30 day mortality for acute myocardial infarction (UK 7.1%; mean 5.5%), and ischaemic stroke (UK 9.6%; mean 6.6%), the UK achieved lower than average rates of postoperative deep venous thrombosis after joint surgery and fewer healthcare associated infections. Primary care physicians in the UK reported spending the least amount of time with patients, with 0% spending 25 or more minutes with patients (study average, 15%), 8% reporting spending 15-25 minutes (study average, 45%), and 92% reporting spending less than 15 minutes with their patients (study average, 38%). Health spending during Covid-19: how does the UK compare? This approach resulted in the presentation of a total of 79 indicators across seven domains: population and healthcare coverage, health and long term care spending, structural capacity, access to care, utilisation, quality of care, and population health. Healthcare coverage and population statistics for UK and comparator countries, 2017 and change from 2010. Working to improve our existing health system while providing it with the adequate resources, political support and long-term planning it desperately needs would give the NHS the best chance of delivering the timely, high-quality care and outcomes it is capable of.. How does UK health spending compare across - The Health Foundation How much does the NHS cost the UK? - The Big Issue How does UK healthcare spending compare with other countries? The make-up of the UK population, in terms of size of total population and the percentage of the population over 65 years of age was similar to the study average (population in UK, 66.4 million; study average, 64.7 million; population over 65 in the UK, 18%; study average, 19%) (table 1). To read about what the UK might learn from New Zealand's healthcare . As a percentage of GDP, UK healthcare spending fell from 9.8% in 2013 to 9.6% in 2017, while healthcare spending as a percentage of GDP rose for four of the remaining six G7 countries. A quick look at five charts from the report. Health spending in 2020 and 2021 is estimated to have grown strongly in the United States and many other OECD countries. official website and that any information you provide is encrypted Large drop in the number of new nurses coming from the EU to work in the UK. Luchinskaya D, Simpson P, Stoye G. UK Health and Social Care Spending. How are different countries balancing care during the latest Covid wave? That puts us 13 th out of the 35 countries in the OECD and above the average level (9%) for . He said colleagues abroad were really baffled by Britains lack of investment in capital infrastructure, with an estimated 10 billion backlog of maintenance. Bucholc J, McCaffrey N, Ugalde A, Muldowney A, Rand S, Hoefman R, Mihalopoulos C, Engel L. Qual Life Res. Bethesda, MD 20894, Web Policies Conclusions: We first examined comparative data on the size and make-up of the populations of the different countries and their rates of healthcare coverage. Just when you thought things couldnt get any stranger, 2022 happened. Finally, our main comparison is with nine other countries, all of which spend more on healthcare than the UK does. Report compared NHS with 18 countries health systems, UK health spending per person below average compared to others. People in the UK receive relatively good protection from some of the catastrophic costs of falling ill. Taken together, these results suggest that if the NHS wants to achieve comparable health outcomes at a time of growing demographic pressure, it may need to spend more to increase the supply of labour and long term care and reduce the declining trend in social spending to match levels of comparator countries. Epidemiol Prev. 2015. We chose to focus the comparison on a group of countries that we believe the UK tends to liken itself to,717 almost all part of the G12 and very high income. Britons die sooner from cancer and heart disease than people in many other rich countries, partly because of the NHS's lack of beds, staff and . If the NHS is to successfully prevent and treat disease and deliver the best possible standards of care for patients, better use of medicines must be part of the strategy., Miriam Deakin, director of policy and strategy at NHS Providers, said: Its very worrying that after a decade of underinvestment, severe staff shortages and insufficient capacity to meet increasing demand that our overstretched NHS isnt top of the international league table when it comes to certain performance indicators and outcomes.. One of the biggest ongoing debates about the NHS has to do with the extent to which services are able to cope with government cuts to long term care funding and sluggish NHS funding. Fortunately, new national data have become available over the past few years that allow for a careful comparison not just of spending but also of broader health system performance including access, quality, and outcomes. The good, the bad and the alright: Ireland's healthcare system compared Cancer survival rates were the lowest of the comparator countries for breast and colon cancer, with cervical and rectal cancer survival being the second lowest. ONS's new internationally-comparable "health accounts" 1 show that the UK's total healthcare spending in 2014 was 179 billion, or 9.9% of GDP. Detailed statistics on healthcare spending in the UK for 2020 and provisional high-level estimates of healthcare spending in 2021, produced to the international definitions of the System. doi: 10.1136/bmjoq-2022-002093. Britains health service was second worst of all those examined for saving lives, with only the US faring worse. 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