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Inequalities in Health and Health Care Provision UK
National Inequalities in Health www.statistics.gov.uk
Death Rates and Infant Mortality Rates per 1,000, per country  (2003) General Register Office for Scotland 5.1 11.6 Scotland Infant Mortality Rate per 1000 population Death Rate per 1000 population 10.3 8.5 11.5 10.1 5.3 United Kingdom 5.3 Northern Ireland 4.1 Wales 5.3 England
Main Points ,[object Object],[object Object],[object Object],[object Object]
Main Points ,[object Object],[object Object],[object Object]
Causes of death by gender, 2003, UK www.statistics.gov.uk
NHS Expenditure by country in the UK  {2002-3 (bmj.com 2005) and 2004-5} Per capita (£) 2004-5 Per capita (£) 2002-3 £1214 £1262 £1186 £1085 £1371 Northern Ireland £1533 Scotland £1287 Wales £1249 England
Percentage population and per capita spend on health in countries in the UK   (2004-5) www.ic.nhs.uk/ www.statswales.wales.gov.uk/ www,dhsspsni.gov.uk/ www.isdscotland.org Per capita public spend on health % of total  UK population 2.9% 8.5% 4.9% 83.7% £1371 Northern Ireland £1533 Scotland £1287 Wales £1249 England
Relative level of health care spend on a per capita basis per country  (2004-5) The UK average = 100 www,dhsspsni.gov.uk/ 107% 114% 104% 97% +7% Northern Ireland + 14% Scotland + 4% Wales - 3% England
Number of Health Service Staff per 10000 people per country  (2003-4) www.ic.nhs.uk/ www.statswales.wales.gov.uk/ www,dhsspsni.gov.uk/ www.isdscotland.org 276 Northern Ireland 294 Scotland 231 Wales 259 England
Availability of hospital beds and health staff in UK countries  (2003) www.ic.nhs.uk/ www.statswales.wales.gov.uk/ www,dhsspsni.gov.uk/ www.isdscotland.org 7 7.4 6.4 5.6 Nursing 4.9 6 5 3.8 Hospital beds per 1000 population Northern Ireland Scotland Wales England 0.63 1.6 0.76 1.8 0.61 1.4 0.57 1.4 GPs Medical & dental Staff per 1000 population
Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],But
Inverse Care Law ,[object Object],[object Object],[object Object]
But….. ,[object Object],[object Object]
Lack of Correlation Is this lack of correlation between the incidence of ill health and the allocation of financial and manpower resources in health care provision: a reflection of the disparity in where the resources and manpower are targeted?  a reflection of the greater needs of people in Scotland? or
Inequalities in Health Care Provision ,[object Object],Guardian Newspaper extract  (October 1999) ‘’ Rather than having a National Health Service, it is as if we have dozens of independent health services, all operating under different rules and using different criteria. In some parts of the country you’ll be booked into a specialist cancer hospital which will spend thousands on chemotherapy drugs even though the success rates for some drugs for cancer are miniscule; in others you’ll be told that your time is up even though there are plenty of well proven cures which might well succeed’’. Nigella Lawson
Geographic Imbalance  (2004-5) ,[object Object],[object Object]
Inequalities in Health Care Provision  (2001) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Comparison of NHS provision between Scotland and England  (2001)
Regional Imbalance in Funding in England  (2001) ,[object Object],[object Object],[object Object]
NHS costs within England  (2001) ,[object Object],[object Object],[object Object]
The Anomaly? ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Reasons? ,[object Object],[object Object],[object Object]
The Evidence  (2005)   ,[object Object],[object Object],www.isdscotland.org
See BBC News PowerPoints for articles on inequalities in health care provision. ,[object Object],[object Object],[object Object],[object Object],Courtesy of www.bbc.co.uk

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Inequalities - Health Care Provision

  • 1. Inequalities in Health and Health Care Provision UK
  • 2. National Inequalities in Health www.statistics.gov.uk
  • 3. Death Rates and Infant Mortality Rates per 1,000, per country (2003) General Register Office for Scotland 5.1 11.6 Scotland Infant Mortality Rate per 1000 population Death Rate per 1000 population 10.3 8.5 11.5 10.1 5.3 United Kingdom 5.3 Northern Ireland 4.1 Wales 5.3 England
  • 4.
  • 5.
  • 6. Causes of death by gender, 2003, UK www.statistics.gov.uk
  • 7. NHS Expenditure by country in the UK {2002-3 (bmj.com 2005) and 2004-5} Per capita (£) 2004-5 Per capita (£) 2002-3 £1214 £1262 £1186 £1085 £1371 Northern Ireland £1533 Scotland £1287 Wales £1249 England
  • 8. Percentage population and per capita spend on health in countries in the UK (2004-5) www.ic.nhs.uk/ www.statswales.wales.gov.uk/ www,dhsspsni.gov.uk/ www.isdscotland.org Per capita public spend on health % of total UK population 2.9% 8.5% 4.9% 83.7% £1371 Northern Ireland £1533 Scotland £1287 Wales £1249 England
  • 9. Relative level of health care spend on a per capita basis per country (2004-5) The UK average = 100 www,dhsspsni.gov.uk/ 107% 114% 104% 97% +7% Northern Ireland + 14% Scotland + 4% Wales - 3% England
  • 10. Number of Health Service Staff per 10000 people per country (2003-4) www.ic.nhs.uk/ www.statswales.wales.gov.uk/ www,dhsspsni.gov.uk/ www.isdscotland.org 276 Northern Ireland 294 Scotland 231 Wales 259 England
  • 11. Availability of hospital beds and health staff in UK countries (2003) www.ic.nhs.uk/ www.statswales.wales.gov.uk/ www,dhsspsni.gov.uk/ www.isdscotland.org 7 7.4 6.4 5.6 Nursing 4.9 6 5 3.8 Hospital beds per 1000 population Northern Ireland Scotland Wales England 0.63 1.6 0.76 1.8 0.61 1.4 0.57 1.4 GPs Medical & dental Staff per 1000 population
  • 12.
  • 13.
  • 14.
  • 15. Lack of Correlation Is this lack of correlation between the incidence of ill health and the allocation of financial and manpower resources in health care provision: a reflection of the disparity in where the resources and manpower are targeted? a reflection of the greater needs of people in Scotland? or
  • 16.
  • 17.
  • 18.
  • 19. Comparison of NHS provision between Scotland and England (2001)
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.