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ANNEXE 6. United Kingdom: Establishing a mixed economy in healthcare. 2005. Duncan Innes Head of Public Policy. UK healthcare - key points. The National Health Service is funded by tax not insurance - there are no charges to see a doctor or go into hospital - PowerPoint PPT Presentation
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ANNEXE 6
United Kingdom: Establishing a mixed economy in healthcare
2005
Duncan Innes
Head of Public Policy
UK healthcare - key points
• The National Health Service is funded by tax not insurance - there are no charges to see a doctor or go into hospital
• The State owns NHS hospitals, although there is some freedom for management
• Private hospitals do not employ doctors
• All referrals to both public and private hospitals come through General Practitioners
• BUPA insurance pays all costs for treatment in any private hospital (not just those owned by BUPA)
Mainly surgical operations
l
UK: 35 private
hospitals
27,000 NHS patients in 2003
Coronary artery by-pass graft episodes split by major payor group
200
100
0
VOLU
ME
Insured
Self Funding
NHS
250 care homes;
16,000 residents
mixed private and State ownership and funding
Long-term care of older people
The future
• Prices fixed nationally - similar to DRGs
• Choice - by December 2005 all patients in England will be offered four or five hospitals for surgery, booked at a time to ensure short waiting
• Still no choice of doctor, or what treatment is given
• Commission for Healthcare Audit and Inspection inspects standards in both public and private hospitals on a similar basis
18 - week waiting time and up to 15% of surgical operations in private hospitals by 2008
Government to spend £500m-£1bn more on imaging (MRI;CT;PET) and pathology
‘Why use private hospitals and insurance in the UK?’
• More capacity to permanently reduce waiting times
• Better productivity to treat more patients.
• Utilisation of all the resources available in England
• spread good practice and innovation