Health Service Anatomy – Administrative costs and overhead charges – Choice, Doctors and risk

The anatomy of the Health Service (In England) is explained by this graphic from 2010-11

Anatomy of Health Service

It is interesting that Aneurin Bevan boasted of a 3% annual administartion cost from 1948-1952. I am trying to find out what it is now but my estimate is over 25%

We and NZ have the highest reliance on doctors trained overseas.


Cancer survival rates have improved dramatically since 1994, when this graphic was produced.

Cancer Survival rates Europe

Women are outperforming men in all degrees and particularly in Mediciine

Class divide copy

And women are safer and have fewer referrals to the GMC

women safer

Choices are made by English patients on certain criteria – both choice, and the criteria to make a choice, are unot available to Weslh Health Service patients ot to their Doctors.

choosing hospitals

How many patients know they can choose?

which hospital

The “zero tolerance” policy towards violence may have reduced these figures from 2007

health battles

Waiting times (up-to-date)  for England are available on the Nuffield Trust website, but there are no similar graphics for the Health Services in N Ireland, Scotland and Wales.

All very sad, except the good news that cancer survival rates are improving…

Update 3rd November 2013 – Comment from John D:

Although the costs of administration in the NHS may be difficult to find, staff numbers show I think an interesting story.

 In the Royal Surrey County Hospital – a Foundation Trust – their website shows the most recent annual report and accounts.  The attached (Full Time staff equivalent Royal Surrey County Hospital) shows the Full Time Equivalent Staff numbers from the report.

 What business could operate with nearly 18% of its staff working in Administration and Estates?

 The report can be found here.



This entry was posted in A Personal View, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

1 thought on “Health Service Anatomy – Administrative costs and overhead charges – Choice, Doctors and risk

  1. John D

    Regarding intake of women and men into medicine I am reliably informed by a GP leading on training in South London that of a group of twenty five junior doctors he met recently only five were men. His comment was that medicine no longer seems attractive to men as a career, they would rather go into business.


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