5.nhs presentation april2010 amb. lillie
DESCRIPTION
Stephen Lillie took up his appointment as Her Britannic Majesty's Ambassador to the Republic of the Philippines in August 2008. Born in 1966, Stephen joined the Diplomatic Service after graduating in Modern Languages from Oxford University in 1988. His diplomatic career has been largely Asia-focused, with postings in Hong Kong (for Chinese language training), Beijing, New Delhi and Guangzhou, China where he served as Her Majesty's Consul-General. Immediately prior to Manila he was Head of Far Eastern Group in the Foreign & Commonwealth Office in London for three years, overseeing UK relations with North-East Asia.TRANSCRIPT
Health Financing Summit
04.14.10
The National Health Service of the United Kingdom
By British Ambassador Stephen LillieHealth Financing Summit, 14 April 2010
The UK National Health Service
> founded in 1948 > 3 core principles:
> It meets the needs of everyone.> It is free at the point of delivery.> It is based on clinical need, not ability to pay.
> delivered major improvements in health > has a proud history of innovation
The UK NHS
> 90,000 hospital doctors, > 35,000 general practitioners, > 400,000 nurses, and> 6,000 ambulance staff> 1m patients every 36 hours> 700,000 dental visits every week> 3,000 heart operations a week
In the 1990s, despite many achievements, it had become outdated and had systemic problems
> underfunded> understaffed> lacked national standards > had old-fashioned demarcations
between staff > had barriers between services> lacked clear incentives and levers
to improve performance> over-centralised > disempowered patients
Major investments
> facilities> staff> reforms> institutions
The NHS structure
Source: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhsstructure.aspx
The NHS today
Shaped around the needs and preferences of individual patients
>provides access to a comprehensive range of services>provides choices>helps reduce health inequalities>works with stakeholders>helps keep people healthy
NHS expenditure
Sources: ONS, Annual Abstract of Statistics: 2008, Table 10.22, and earlier editions; ONS database, series YBHA, ABMI and YBGB; Health Committee, Public Expenditure on Health and Personal Social Services 2007: Memorandum received from the Department of Health containing Replies to a Written Questionnaire from the Committee, HC 26-i, 8 November 2007, Table 2
Misconceptions about the NHS
> “Old people are denied prescribed drugs, treatment and surgery.”
> “The NHS denies state-of-the-art drugs to cancer patients.”
> “Patients have no choice about their treatment.”> “Women under 25 are not allowed a cervical smear test in the England because
its too expensive.”
> “Patients have to wait a very long time to be seen by a doctor or to receive treatment.”
UNTRUE!
The NHS today
> universal
> comprehensive
> efficient
> cost-effective
> egalitarian
> innovative
*Figures from World Health Organisation~Figures from Commonwealth Fund report - Mirror, Mirror on the Wall: An International Update on the Comparative Performance of American Health Care
““No society can legitimately call itself civilized No society can legitimately call itself civilized if a sick person is denied medical aid because if a sick person is denied medical aid because of lack of means." of lack of means."
-- Aneurin Bevan, architect of the NHS -- Aneurin Bevan, architect of the NHS
Health Financing Summit
04.14.10