Web-economic-crisis-health-systems-and-health-web
Web-economic-crisis-health-systems-and-health-web Web-economic-crisis-health-systems-and-health-web
Country profiles of health system responses to the crisis | United Kingdom 511 % United Kingdom: Fig. 1 Economic and fiscal indicators 2000–2007 and 2008–2011 60 55 50 45 40 35 30 25 20 15 10 5 0 −5 −10 −15 −20 −25 −30 _ _ _ _ ● ● _ _ _ _ _ _ _ _ ● _ ● ● _ _ Real GDP per capita growth _ _ ● ● _ _ _ _ _ _ _ ● ● ● _ _ _ Deficit/surplus (% GDP) _ _ _ _ _ _ _ _ _ _ ● ● _ _ _ ● _ ● _ ● _ _ _ _ _ Government spending (% GDP) _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Government health spending (% total government spending) _ _ _ _ _ _ _ ● _ ● ● ● ● _ _ _ 10−year bond rates _ _ _ _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Unemployment rate Notes: Deficit/surplus: Eurostat; 10-year bond rates: European Central Bank; Other indicators: WHO Health for All. Year 2000−2007 2008 2009 2010 2011 United Kingdom: Fig. 2 Trends in per capita spending on health, 2000–2011 3000 Public spending per capita OOP spending per capita Non−OOP private spending per capita Per capita spending $, PPP 2000 1000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 15 10 Growth % 5 0 −5 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Public spending per capita growth OOP spending per capita growth Note: Spending calculated from WHO Health for All. Non−OOP private spending per capita growth
512 Economic crisis, health systems and health in Europe: country experience Northern Ireland • Gross public spending on health grew by about 15% in the two years from 2007–2008, followed by a sharp contraction of 13% in 2010–2011 (partly due to a reduction in the block grant from the United Kingdom Government and partly a political decision by the Northern Ireland Executive not to finance necessary increased expenditure on water infrastructure through property taxes), a small increase of 3% in 2011–2012 and small annual increases to 2014–2015; savings of £118.2 million were to be made in 2008–2009 increasing to £232.8 million and £344.0 million, respectively, in the following two years (through specific projects ranging from the purchasing of drugs to reducing energy consumption through technical improvements). Scotland • The health budget has been constrained since 2009; small cash increases occurred but there were decreases in real terms; projected decreases in real terms of 2.8% between 2011–2012 and 2014–2015. However, health has been more protected than other public sectors and the government has tried to protect frontline health services through efficiency savings (retained for reinvestment) and productivity improvements (for which annual targets of 2% were set for 2008–2011 and 3% subsequently). • The NHS in Scotland has so far achieved these targets and maintained overall financial balance. Wales • The health budget in Wales has been subjected to greater pressure than that in the other United Kingdom nations; following real terms increases ranging from 1.5% to 4% between 2006–2007 and 2009–2010, the real terms increase in 2010–2011 was below 0.2% and the budget for 2013– 2014 is projected to be lower than in the previous year. • Health boards received additional funds from the Welsh Government in 2012–2013 to help them to stay in balance and have tried to meet budgetary targets through higher productivity, reduced capital spending and short-term use of reserves. Population (entitlement) • No response reported. The benefits package Northern Ireland • Introduction of a publicly funded bowel cancer screening service for people aged 60–69 years (2010).
- Page 494 and 495: Country profiles of health system r
- Page 496 and 497: Country profiles of health system r
- Page 498 and 499: Country profiles of health system r
- Page 500 and 501: Country profiles of health system r
- Page 502 and 503: Country profiles of health system r
- Page 504 and 505: The Russian Federation Elena Potapc
- Page 506 and 507: Country profiles of health system r
- Page 508 and 509: Serbia Vukasin Radulovic Economic t
- Page 510 and 511: Country profiles of health system r
- Page 512 and 513: Country profiles of health system r
- Page 514 and 515: Country profiles of health system r
- Page 516 and 517: Country profiles of health system r
- Page 518 and 519: Country profiles of health system r
- Page 520 and 521: Spain Enrique Bernal-Delgado, Sandr
- Page 522 and 523: Country profiles of health system r
- Page 524 and 525: Country profiles of health system r
- Page 526 and 527: Country profiles of health system r
- Page 528 and 529: Switzerland Alberto Holly and Phili
- Page 530 and 531: Country profiles of health system r
- Page 532 and 533: Tajikistan Ghafur Khodjamurodov Eco
- Page 534 and 535: Country profiles of health system r
- Page 536 and 537: Country profiles of health system r
- Page 538 and 539: Ukraine Valeria Lekhan and Mariia T
- Page 540 and 541: Country profiles of health system r
- Page 542 and 543: Country profiles of health system r
- Page 546 and 547: Country profiles of health system r
- Page 548 and 549: Country profiles of health system r
- Page 550: Country profiles of health system r
512 Economic <strong>crisis</strong>, <strong>health</strong> <strong>systems</strong> <strong>and</strong> <strong>health</strong> in Europe: country experience<br />
Northern Irel<strong>and</strong><br />
• Gross public spending on <strong>health</strong> grew by about 15% in the two years<br />
from 2007–2008, followed by a sharp contraction of 13% in 2010–2011<br />
(partly due to a reduction in the block grant from the United Kingdom<br />
Government <strong>and</strong> partly a political decision by the Northern Irel<strong>and</strong> Executive<br />
not to finance necessary increased expenditure on water infrastructure<br />
through property taxes), a small increase of 3% in 2011–2012 <strong>and</strong> small<br />
annual increases to 2014–2015; savings of £118.2 million were to be<br />
made in 2008–2009 increasing to £232.8 million <strong>and</strong> £344.0 million,<br />
respectively, in the following two years (through specific projects ranging<br />
from the purchasing of drugs to reducing energy consumption through<br />
technical improvements).<br />
Scotl<strong>and</strong><br />
• The <strong>health</strong> budget has been constrained since 2009; small cash increases<br />
occurred but there were decreases in real terms; projected decreases in real<br />
terms of 2.8% between 2011–2012 <strong>and</strong> 2014–2015. However, <strong>health</strong><br />
has been more protected than other public sectors <strong>and</strong> the government<br />
has tried to protect frontline <strong>health</strong> services through efficiency savings<br />
(retained for reinvestment) <strong>and</strong> productivity improvements (for which<br />
annual targets of 2% were set for 2008–2011 <strong>and</strong> 3% subsequently).<br />
• The NHS in Scotl<strong>and</strong> has so far achieved these targets <strong>and</strong> maintained<br />
overall financial balance.<br />
Wales<br />
• The <strong>health</strong> budget in Wales has been subjected to greater pressure than<br />
that in the other United Kingdom nations; following real terms increases<br />
ranging from 1.5% to 4% between 2006–2007 <strong>and</strong> 2009–2010, the real<br />
terms increase in 2010–2011 was below 0.2% <strong>and</strong> the budget for 2013–<br />
2014 is projected to be lower than in the previous year.<br />
• Health boards received additional funds from the Welsh Government<br />
in 2012–2013 to help them to stay in balance <strong>and</strong> have tried to meet<br />
budgetary targets through higher productivity, reduced capital spending<br />
<strong>and</strong> short-term use of reserves.<br />
Population (entitlement)<br />
• No response reported.<br />
The benefits package<br />
Northern Irel<strong>and</strong><br />
• Introduction of a publicly funded bowel cancer screening service for people<br />
aged 60–69 years (2010).
Change language