2. Total inpatient waiting list, England 1996-2009
ยฉ Nuffield Trust
Source: Thorlby and Maybin eds., A High Performing NHS? Kingโs Fund
3. Deaths per 100,000 from circulatory diseases, selected
OECD countries, 1990-2007
ยฉ Nuffield Trust
Source: Thorlby and Maybin eds., A High Performing NHS? Kingโs Fund
4. Changes in average real earnings, selected NHS staff
groups, England
ยฉ Nuffield Trust
5. The Scale of the Challenge
Estimating the Nicholson Challenge for Health and Social
Care in England 2011-12 to 2021-22
ยฉ Nuffield Trust
Social Care Funding Social Care Pressures Health Funding Health Pressures
6. Average Number of Admissions Per Person Per Year
by Condition (Renal & Cancer Omitted)
2
1.9
1.8
Diab
1.7
CHD
Admissions Per Person
Epilepsy
COPD
1.6
Arthritis
HeartFailure
MH
1.5
Asthma
Dementia
Stroke
1.4
1.3
1.2
2001/02 2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10
Year
ยฉ Nuffield Trust
7. Average Number of Admissions Per Person From 2004/05
to 2009/10
0.18
0.16
0.14
Admissions Per Person
0.12
Elective
Admission
Non-Elective
Admissions
0.1
0.08
0.06
2004-05 2005-06 2006-07 2007-08 2008-09 2009-10
Year
ยฉ Nuffield Trust
8. In 2009 an estimated 61% of adults (aged 16 and over) were overweight or
obese (National Obesity Observatory)
Trends in adult prevalence of obesity (BMI โฅ30kg/m2) โ percentage of the adult
population assessed as obese in a selection of countries
(NOO based on OECD data)
9. NHS Expenditure
Maternity
3% Other
Secondary
7% GPs
9%
Community Prescribing
10% 9%
Other Primary
Mental 6%
Illness
10%
Acute and A&E
47%
ยฉ Nuffield Trust
10. Changes in satisfaction with the way the NHS is run,
1993-1997
Source: Thorlby and Maybin eds., A High Performing NHS? Kingโs Fund ยฉ Nuffield Trust
13. Changes in inputs, outputs and quality adjusted
productivity, UK NHS
ยฉ Nuffield Trust
Editor's Notes
Targets and terror?Central control or local flexibility?Contribution from ISTCs?
Consultants and GPs were the big winners: not clear that more productivity increased..GPs: era of financial incentives=QOF, DES, LES. What is the vision for changing public sector motivation?
Satisfaction at an all time highMore surveys of patient experience than ever before, but not clear they are sensitive enough to reflect quality failure or pick up views of the most vulnerable
Huge investment : alot went on staff, all types, including managers