Viable funding options for the National Health Service in England

Viable funding options for the National Health Service in England Commentary Journal of the Royal Society of Medicine; 2018, Vol. 111(6) 189–194 DOI: 10.1177/0141076818766700 Viable funding options for the National Health Service in England 1 2 Mahiben Maruthappu and Dominic C Marshall Cera Care, Office 4, 219 Kensington High Street, Kensington, London W8 6BD, UK Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford OX3 9DU, UK Corresponding author: : Mahiben Maruthappu. Email: m.maruthappu@gmail.com As the English National Health Service (NHS) viable options to consider, while noting that several approaches its 70th year, its founding principles of others exist. We see three broad themes for managing universal coverage and being free at the point of funding in the short term: a managed deterioration; access may be challenging to sustain. These principles additional public funding from increased taxation are now under threat. The NHS is experiencing its or reallocation; and increased private funding from deepest ever budget crunch. Under current spending individuals and businesses. plans, annual real-term growth will average 1% this decade; this is compared to a historical growth of ‘No money’: managed deterioration 4%. The system is concurrently facing unprece- dented pressure (Figure 1), due to England’s ageing, Justifying additional NHS funding is complex.It con- growing population, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the Royal Society of Medicine SAGE

Viable funding options for the National Health Service in England

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Publisher
SAGE
Copyright
© The Royal Society of Medicine
ISSN
0141-0768
eISSN
1758-1095
D.O.I.
10.1177/0141076818766700
Publisher site
See Article on Publisher Site

Abstract

Commentary Journal of the Royal Society of Medicine; 2018, Vol. 111(6) 189–194 DOI: 10.1177/0141076818766700 Viable funding options for the National Health Service in England 1 2 Mahiben Maruthappu and Dominic C Marshall Cera Care, Office 4, 219 Kensington High Street, Kensington, London W8 6BD, UK Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford OX3 9DU, UK Corresponding author: : Mahiben Maruthappu. Email: m.maruthappu@gmail.com As the English National Health Service (NHS) viable options to consider, while noting that several approaches its 70th year, its founding principles of others exist. We see three broad themes for managing universal coverage and being free at the point of funding in the short term: a managed deterioration; access may be challenging to sustain. These principles additional public funding from increased taxation are now under threat. The NHS is experiencing its or reallocation; and increased private funding from deepest ever budget crunch. Under current spending individuals and businesses. plans, annual real-term growth will average 1% this decade; this is compared to a historical growth of ‘No money’: managed deterioration 4%. The system is concurrently facing unprece- dented pressure (Figure 1), due to England’s ageing, Justifying additional NHS funding is complex.It con- growing population,

Journal

Journal of the Royal Society of MedicineSAGE

Published: Jun 1, 2018

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