W1 - HSC in UK: History, Funding Flashcards
What is the evolution of the UK healthcare system based on? Important appointment date, what did this lead to?
- Military impetus
- 1855, first Chief Medical Officer appointed -> first public health reports
When was the NHS established?
1948
Core principles of NHS? (3 bullet points)
- National universal service funded from general taxation
- Free at point of delivery
- Comprehensive service meeting needs of all
Differences in available beds between 1948 and 2024 - acute + general vs. MH and learning disabilities
- 200,000 vs 20,000 for MH and disabilities 1948 vs 2024
- 315,000 vs 122,000 for all other 1948 vs 2024
Total cost of employment in NHS 2023, how much of budget?
- £71 billion
- Almost 46%
Who were the leaders of elected parties in power promoting pro market policies?
- Thatcher (1979-90)
- Blair (1997-2007)
Increase in NHS funding between 1972 -> 2022?
- Spikes, drops?
- 5-fold (£36 billion to 212 billion)
- Blair’s 5% annual increases followed by 2009 financial crash
- Covid19 26% increased spending 2021
Which NHS services have received increased or decreased funding?
- Increases by how much?
- Decrease goes against which policies?
- Acute hospital and mental health funding by 4.4% and 5.3% respectively
- Community + primary care fallen -> goes against aims of strengthen preventative measures to reduce demand for specialist services
How is funding for social care determined?
- Threshold for free care/nursing home?
Means tested social care provision funding
- If ALL assets under £23,250
Social reform based on which 2010 report will new government not be implementing?
- 2010 Dilnot commission
Who provides social care services?
- In 2017/8, no. rate of requests vs those granted
Typically private companies who hold contracts with LAs for state funded care
- 4,400 per 100,000 compared to 900 per 100,000 granted
