NHSreality is taking this opportunity to display some graphics showing the Financial Reality – The Health and Social Security budget will break us by 2020… without reinventing the health service. (The secret will “Out”. NHS finances: Why we are being kept in the dark… The word “rationing” will continue to be banned from the political lexicon. )
Nesta also has an optimistic punt at the future with “The NHS in 2030: a people-powered and knowledge-powered health system”
Reading between the lines of another Kings Fund publication, the future is bleak. Devolution – What it means for health and social care in England, reads to me like a denial of the benefits of mutualisation. Larger mutual give greater benefits.. and Wales in particular, with the smallest mutual will suffer most from lack of choice.
The graphics below (apologies that dates are different and sources omitted) reinforce the parlous state of the finances, the demands of the demographic changes and technological advances…. but as the lowest graph shows, this is a G8 problem, and USA is in an even worse position with regard to health spend. We surely need to focus on duties rather than rights in healthcare provision.
NHS cash crisis: Patients to pay for hospital shortcomings – HOSPITAL patients could suffer this winter – The difference in bail out per capita will be interesting. Emergencies will always trump other demands..
Our NHS is in serious danger – we should be scandalised – GPs are being paid not to refer cancer patients to hospital and free hearing aids are being axed. All the politicians are cowards.. This is a healthcare system under strain, but where is the debate?