1.2.3 Funding allocations and financial flows Flashcards
What is the NHS mainly funded from?
General taxation and National Insurance contributions.
What increased in 2001 intended to boost funding and increase the proportion paid for by this?
An increase in National Insurance rates intended to boost NHS funding and increase the proportion paid for by NI.
What still accounts for around 80% of NHS funding?
General Taxation.
Who sets the level of NHS funding in a given year and through which process.
The level of NHS funding in a given year is set by central government through the Spending Review process.
Which process estimates how much income the NHS will receive from sources such as user charges, National Insurance and general taxation?
The Spending Review Process.
What happens if National Insurance or patient charges raise less funding for the NHS than originally estimated?
Funds from general taxation are used to ensure the NHS receives the level of funding it was originally allocated.
Who allocates money to the DHSC and who does the DHSC allocate money to?
The Treasury allocates money to the DHSC which allocates money to NHS England.
What does the DHSC retain a proportion of the budget for?
Its running costs and the funding bodies such as PHE.
In November 2015 what did the Government announce fir the NHS?
A five year funding settlement for the NHS.
Within the five year funding settlement for the NHS What will annual funding rise in real terms by in 2016/17 and 2020/21?
£3.8bn in 2016/17 and £8.4bn in 2020/21
What are responsible for approximately 2/3 of the total NHS England Budget?
CCGs.
Within England, what has the estimated total NHS spending on medicines in England grown from and to? What is this an average growth of per year?
Grown from £13 billion in 2010/11 to £17.4 billion in 2016/17 which is an average growth of around 5% a year.
What retains the budget for payment for specialised services?
NHS England (PQ)
How much commissioning budget does NHS England receive from the DHSC? (2019/20)
£121.0 billion.
How much budget allocation do CCGs receive from NHS England for commissioning healthcare service from provider organisations?
£79.9 billion
How much budget allocation is retained by NHS England for commissioning of Primary Care services, specialised commissioning and public health services?
£41.1 billion
What is the payment system in England under which commissioners pay healthcare providers for each patient seen or treated, taking into account the complexity of the patients healthcare needs?
Payment by Results (PbR)
What is the unit of healthcare called for which a payment is made and can take a number of form covering different time periods from an outpatient attendance or a stay in hospital , to a year of care for a longer term condition?
Currencies.
What are the set prices paid for each currency called?
Tariffs.
What does PbR currently cover the majority of?
The majority of acute healthcare in hospitals.
What is used for admitted patient care, outpatient attendances, accident and emergency and some outpatient procedures?
National Tariffs
Approximately what percentage of NHS funding comes from taxation and National Insurance payments?
98%
