MediClever Internal Analysis
|
|
- Margaret Sullivan
- 8 years ago
- Views:
Transcription
1 1/19 MediClever Internal Analysis UK Healthcare System Draft November 11, 2005
2 2/19 T.O.C. 1. Executive Summary UK Background Demographics Politics Economics Healthcare System General Organizational Overview Providers Expenditure Funding Market Medical Device Total Value Opportunities Reimbursement... 18
3 3/19 Notes: All figures are in US Dollars.
4 4/19 1. Executive Summary UK s comparative health spending per capita is lower than the EU average with plans to increase substantially over the next few years and top EU spending per capita. Long term reimbursement options seem to be difficult to achieve and most current reccommendations focus on short term solutions.
5 5/19 2. UK Background 2.1. Demographics The United Kingdom of Great Britain and Northern Ireland (UK) is made up of four constituent countries, namely: England, Scotland, Wales and Northern Ireland. UK population in 2001 reached nearly 59 million, distributed as follows: England: 83% Scotland: 9% Wales: 5% Northern Ireland: 3% Most people live in the cities (over 89% in 1995). Around 12% of the population live in the capital, London. Other principal cities, with populations in excess of 500,000, include Birmingham, Leeds, Glasgow and Sheffield Politics General The UK is a constitutional monarchy. Queen Elizabeth II has been Head of State since 1952, although the running of the country is undertaken by the democratically elected government. Legislative power rests with Parliament, which has two chambers: House of Commons: 646 democratically elected MPs (members of the parliament). House of Lords: 730 hereditary and life peers. Elections take place at least every five years for the House of Commons based on constituencies. The Prime Minister is the leader of the majority party in the House of Commons. The Prime Minister appoints the cabinet of ministers. The UK has been a member of the European Union since 1972, but does not participate in the European Monetary Union, which began on 1 January 1999.
6 Healthcare Market Related 6/19 Healthcare system continously serves as a hot political issue: The NHS is the biggest employer in the UK and is a monopoly is providing healthcare services. As such, it is always at the focus of the political debate. Increased government spending: As stated in the Government s budget of 2002, expenditure on the NHS will rise from 96B in 2002/03 to more than 155B in 2007/08 1. Assuming a continous 83% share of public funding from total UK healthcare expenditure 2 and a 3% annual growth of GDP, this will cause healthcare spending to rise from 7.7% of GDP to 10.7% of GDP. Consequently, UK s healthcare system will become the most exspensive one within the EU (EU average: 8.5% of GDP) Economics GDP in 2003: 1,799B. Per capita: 30,156 The unemployment rate is one of the lowest in Europe, and inflation remains at very low levels. 1 Source: United Kingdom, Healthcare System, Epsicom business intelligence, September 2004, pg See Espicom projections at: Outlook: United Kingdom, September 2004, pg. 3.
7 7/19 3. Healthcare System 3.1. General The total UK public expenditure on health and personal social services, matches the general population distribution in the UK. It is split as follows: England: 80% Scotland: 11% Wales: 6% Northern Ireland: 3% 3.2. Organizational Overview DoH (Department of Health) Sets the standards for healthcare services and their prices, secures sufficient funds from overall government spending and allocates them on a formula basis to the PCTs. NICE (National Institute for Health Improvement) Sets standards for the delivery of health care services and recommends use of new medical devices. Although NICE s recommendations are not legally binding, NHS Trusts and PCTs will rarely divert from them. Healthcare Commission Responsible for enforcing the standards set by NICE, for the delivery of health care services. DHSCs (Directors of Health and Social Care) 4 regional directors that coordinate the work of the 28 SHAs. SHAs (Strategic Health Authorities) 28 local NHS management authorities, linking between the DoH and NHS by locally implementing national plans and monitoring performance of PCTs and NHS Trusts. PCTs (Primary Care Trusts) Local organizations, accountable to their SHA: Provide primary care services (GP, dentist), thus serve as the NHS s gatekeepers. NICE DoH DHSCs [4] SHAs [28] Healthcare Commission PCTs NHS Trusts NHS Foundation Trusts
8 8/19 Commission primary and secondary care services for their community. PCTs are now at the centre of the NHS, receiving 75% of the NHS budget. NHS Trusts Self-governing hospitals or groups of hospitals, earning revenue for the secondary care services they provide (in-patient, day-surgery, out-patient). These services are commissioned or purchased - on behalf of patients by PCTs. NHS Trusts employ most of the NHS workforce (consultants, doctors, nurses, hospital dentists). NHS Foundation Trusts Elite hospitals may have the opportunity to gain limited structured financial independence from the DoH. Hospitals that are classed as elite have been rated by the Commission for Healthcare Audit and Inspection (CHAI) as attaining 3-star performance (the highest performance rating).
9 9/ Providers Hospitals General The UK had approximately 4.5 hospital beds per 1,000 population in the mid-1990s. This is one of the lowest levels in western Europe. Source: WHO Regional Office for Europe health for all database During 2003, this number dropped to 4.2 hospital beds per 1,000 population. Public In 2003, over 95% of UK s 249k hospital beds belonged to the NHS. Their distribution matched the general population distribution in the UK. It is split as follows: England: 78% Scotland: 13% Wales: 6% Northern Ireland: 3% Private There are approximately 230 independent medical/surgical hospitals in the UK. Five main groups: General Healthcare Group Ltd.: 2,300 beds. BUPA: 1,800 beds. Capio Healthcare UK (formerly Community Hospitals Group): 90o beds. Nuffield Trust Ltd: 1,700 beds. HCA (formerly PPP Columbia Healthcare Ltd): 550 beds.
10 10/19 These five groups account for just over 60% of all private hospitals and a combined share of approximately 65% of total private beds. It is noticeable that there has been some vertical integration between the insurance function and hospital ownership in UK private health care market, with both PPP and BUPA establishing networks of preferred providers. These networks constitute a major change in the private hospital sector in recent years and could have significant implications for smaller non-affiliated hospitals. The take-up of this restricted insurance policy has been high and as these two companies dominate the insurance market, those providers excluded from the networks could see a significant reduction in admissions. This shift, taken together with the strong incentives offered to private specialists and consultants to encourage them to refer their patients to a preferred provider, could result in independent hospital closures. By mid-1998, 4,000 of the 20,000 privately practising consultants had signed up to the BUPA partnership which may account for as much as 50% of all private work GPs Public The first point of referral for all non-emergency cases in the UK is the GP. Patients may select a GP of their choice, although choice is restricted within geographical areas. Patients who require more specialist care will be referred by their GP to a hospital consultant. There are around 53 million such referrals each year in the UK. Source: United Kingdom, Healthcare System, Epsicom business intelligence, September 2004, pg. 44. The NHS is the main employer of GPs in the UK. Since its establishment, GPs have been self-employed professionals who provide services to the NHS under contract. This independent contractor status gives GPs considerable autonomy. The terms and conditions of the GPs contract with the NHS are negotiated nationally between the doctors representatives and the government. The latest version of this contract (1990) introduced some major changes. It was designed to increase patient choice by requiring practices to provide more information about their services; to make their terms of service more explicit; and to relate payments more closely to performance.
11 Private 11/19 There is very little privately financed primary care in the UK. Successive user opinion polls have revealed a high level of satisfaction with NHS GP services and so there is little scope for private practice to address perceived failings of the NHS, such as lengthy waiting times for elective surgery in the hospital sector. A recent innovation has seen the appearance of private primary care centres located at certain London mainline railway stations, offering immediate consultations for a standard fee of 35. These are designed to address the needs of busy working people who experience difficulty making normal GP appointments but are, so far, on a very small scale Expenditure Total UK health expenditure in 2002: 139B (7.7% of GDP) 3. The following graph depicts comparative health expenditure data as a proportion of GDP from As of 2002, the UK has improved its ranking compared to other EU countries, but is still well below the EU average (8.5% of GDP). Total expenditure on health care as % of GDP in the WHO European Region, 1997 or latest available year Source: WHO Regional Office for Europe health for all database 3 Source: United Kingdom, Healthcare System, Epsicom business intelligence, September 2004, pg. 10.
12 12/19 The UK s relatively low expenditure on healthcare as a percentage of GDP, is also reflected in the average expenditure per head, indicated in US dollars at purchasing power parities. It shows that the UK level of expenditure, at 1,347, is substantially below that of Germany (2,339), France (2,103) and the EU average (1,743), but is only marginally less than Italy (1,589), Sweden (1,728) and Finland (1,447). Total expenditure on health care in US $PPP per capita in the WHO European Region, 1997 or latest available year Source: WHO Regional Office for Europe health for all database
13 13/19 The expenditure ratio between public and private expenditure is one of the highest in Western Europe, with 83% public and 17% private (for 2004) 4. The graph below depicts data for 1997: 4 Source: United Kingdom, Healthcare System, Epsicom business intelligence, September 2004, pg. 10.
14 14/19 Public (government) health care expenditure as % of total health care expenditure in the WHO European Region, 1997 or latest available year. Source: WHO Regional Office for Europe health for all database
15 15/ Funding Public The budget for the NHS is set annually as part of the overall public expenditure planning process. In 1996/ % of gross spending on the NHS in England came from general taxation ans 12% came from national insurance contributions. Government PCTs: The DoH allocates a total fund to each PCT (with oversight by the Advisory Committee on Resource Allocation), which decides how to spend the fund on its provided services. The total fund for each PCT is calculated utilizing a formula that accounts for the size and demographics of the local population and other factors. However, each PCT does not necessarily receive its target allocation of funds, but is adjusted to reflect the funds that it has received in the past. PCT NHS Trusts: Currently - Block Agreements : Service agreements disregarding amount and quality of services rendered. 2005/2006 HRGs 5 : Payments to NHS Trusts will take into account standard national tariffs of specific care activities (or care packages) actually delivered. Money is not actually transferred from the PCT to the NHS Trust, but rather transferred to the NHS Trust directly from the DoH. NHS Trusts Medical Device Vendors: High-volume commodities: PASA (NHS Purchasing and Supply Agency). Others: Direct negotiations with vendors with or without a tender Private In addition to general tax-based funding, 17% of total healthcare expenditure came from the private market. Fewer than 11% of the population have some form of private medical insurance through 25 private medical insurers (non-profit providents or commercials). Market shares (%) of private insurance companies by subscription income: 5 Healthcare Resource Groups (HRGs) are a tool for classifying patients into a manageable number of groups of cases that are clinically similar and that require similar levels of healthcare resources for diagnosis, treatment and care. HRGs have been developed in the UK by the NHS Information Authority, with input from UK clinicians, to reflect clinical practice and patterns of service delivery. Other countries have developed similar tools, often called Diagnostic Related Groups (DRGs).
16 16/19 In addition, some of the private expenditure originated from out-of-pocket spending in the form of payments for private medical care, payments for long-term care and copayments for pharmaceuticals, dental and ophthalmic services.
17 17/19 4. Market 4.1. Medical Device Total Value 6 Total value of UK medical equipment and supplies: 4.7B (4 th globaly) Per capita expenditure: 80 (15 th globaly). Percentage from total health expenditure: 3.5% Percentage from GDP: 0.3%. Expected growth: 5.2% per year. 5.8B in 2009 or 96 per capita Opportunities The Acute Hospital Portfolio report, published in June 2003, found that average occupancy in NHS beds was 95%, rising to 97% for medical and rehabilitation beds. This level is considered to be too high. The report concludes that Trusts could make more efficient use of their existing beds by reducing the length of stay for some routine surgical patients and through faster diagnosis, treatment and discharge for emergency medical patients. This would reduce bed occupancy and make more beds available. In some trusts, though, the root of the problem is insufficient beds. The move towards a HRG based system has important implications for the current Trust Financial Regime. In particular, the intention is to move to a system in which Trusts are able to retain surpluses they earn if they are able to provide services at lower costs than the tariff rate, while meeting quality standards. 6 Source: Medistat Outlook, Espicom Business Intelligence: United Kingdom, September 2004, pg. 2.
18 18/ Reimbursement Long Term Submit a request to form a specific HRG code. Currently, there are 550 HRGs 7 and this number is not very likely to change. Strive to increase value of existing relevant HRG so that it will cover the use of relevant device. Add the procedure to the Tariff Supplement. Sign reimbursement contracts with the private funds Short Term Pass-through payments 8 are additional payments for use of a particular device, technology or drug that can be made to providers over and above the relevant tariff reimbursement. PCTs and providers must agree the basis for pass-through funding in advance of its use. For any pass-through payment arrangements, the following criteria and conditions should apply: The pass-through arrangement should be fixed for a maximum period of 2 years only from the date at which the pass-through funding arrangement first applies (this could be mid-way through a financial year). The earliest date this could apply is 1st April PCTs should inform DH through the Financial Flows mailbox of technologies where the pass-through payment applies. PCTs should have regard to the existing cost effectiveness evidence including any NICE guidance, HTA assessments, DES evaluation reports or other relevant national guidance. The price to be attached to the pass-through funding should be agreed in advance and the price should only relate to the additional costs associated directly with the device or technology and its use relative to the cost of the alternative treatment. If appropriate, the device, technology or procedure should be included on the NICE list of Interventional Procedures. 7 Department of Health, Implementing Payments By Results Technical Guidance 2005/06, July 2005, pg Department of Health, Implementing Payments By Results Technical Guidance 2005/06, July 2005, pg. 21.
19 19/19 PCTs should have due regard to the procurement arrangements for these drugs, devices, technologies or treatments identified as being 3suitable for pass-through funding. Requirements: Strong clinical and economical analysis Enthusiastic support from leading physicians willing to submit requests to their PCTs. Advantages: Quicker and cheaper than establlishing a nation-wide reimbyrsement mechanism. Disadvantages: Contract expires after two years. Requires separate negotiations with each PCT.
WP6: Costing and pricing of acute hospital services in England. Centre for Health Economics, York, UK
WP6: Costing and pricing of acute hospital services in England Centre for Health Economics, York, UK Contents Structure of NHS The flow of funds Types of contract Hospital contracts before 2004 Tariff
More informationUNITED KINGDOM DATA 2009 2010 2011. A1 Population 61.791.956 62.261.968 62.439.828 see def. A2 Area (square Km) 243.610 243.610 243.610 see def.
UNITED KINGDOM A1 Population 61.791.956 62.261.968 62.439.828 A2 Area (square Km) 243.610 243.610 243.610 A3 Average population density per square Km 253,65 255,58 256,31 A DEMOGRAPHIC AND SOCIO-ECONOMIC
More informationHEALTH CARE DELIVERY IN BRITAIN AND GERMANY: TOWARDS CONVERGENCE?
HEALTH CARE DELIVERY IN BRITAIN AND GERMANY: TOWARDS CONVERGENCE? Background: Two different health care systems Generally speaking, the British and the German health care systems differ not only with respect
More informationConnected Health market in Europe Health & Wellness @ Mobile World Congress 2015
European Connected Health Alliance Bringing Together the future of Health, Social Care & Wellness Connected Health market in Europe Health & Wellness @ Mobile World Congress 2015 www.echalliance.com /
More informationBackground Briefing. Hungary s Healthcare System
Background Briefing Hungary s Healthcare System By Shannon C. Ferguson and Ben Irvine (2003) In the aftermath of communist rule, Hungary transformed its healthcare system from centralised Semashko state
More informationHospital Financing in England 3
Hospital Financing in England 3 by Alastair M. Gray and Charles Normand ntroduced in 1948 by the Labor Party, Britain s National Health Service (NHS) is based on the principle that everyone is entitled
More informationWhat can China learn from Hungarian healthcare reform?
Student Research Projects/Outputs No.031 What can China learn from Hungarian healthcare reform? Stephanie XU MBA 2009 China Europe International Business School 699, Hong Feng Road Pudong, Shanghai People
More informationTHE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA
THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA Eriks Mikitis Ministry of Health of the Republic of Latvia Department of Health Care Director General facts, financial resources Ministry
More informationNHS inpatient elective admission events and outpatient referrals and attendances
NHS inpatient elective admission events and outpatient referrals and attendances Quarter Ending December 2013 Commentary o Key Points o Time Series Graphs Statistical Notes o National Statistics o Quarterly
More informationQuality drives productivity and growth
Quality. Compassion. Care. Quality drives productivity and growth Introduction to Capio January, 216 Capio today About 12,4 employees and 4.6 million patient visits in Sweden, Norway, France and Germany
More informationHealth Care and Competition Law and Policy in Ireland
Health Care and Competition Law and Policy in Ireland Presentation to FTC/DoJ Declan Purcell, Member Competition Authority, Ireland 30 th September 2003 Presentation Outline Irish Competition Law and the
More informationNHS Foundation Trusts. Eligibility Criteria and Timetable
NHS Foundation Trusts Eligibility Criteria and Timetable Contents 1. Summary........................................... 3 2. Context............................................. 4 3. NHS Foundation Trusts................................
More informationCommissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare
Commissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare Although Primary Care Trusts (PCTs) and East Midlands Specialised Commissioning Group (EMSCG) were abolished
More informationReconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK
Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK K Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK Summary Our aim is to provide an excellent
More informationHow does the NHS buy HIV Drugs?
The April 2011 announcement of changes to HIV drugs purchasing arrangements in London highlighted the direct impact of National Health Service (NHS) drugs procurement budgets and processes on individual
More information4. Proposed changes to Mental Health Nursing Pre-Registration Nursing
Developments in nurse education in England Summary BSMHFT employs 1319 registered nurses and 641 health care assistants 53% of the total workforce. BSMHFT works in partnership with Birmingham City University
More informationPolicy Briefing. Health Structures in Ireland, North and South
Policy Briefing This document aims to inform ageing research and add to existing discussion on policy and research developments. Health Structures in Ireland, North and South This document outlines the
More informationDefining the boundaries between NHS and Private Healthcare
West Midlands Strategic Commissioning Group Commissioning Policy (WM/13) Defining the boundaries between NHS and Private Healthcare Version 1 April 2010 1. Definitions Private patients are patients who
More informationHow To Understand The Health Care System In The United States
Medicare Payments And Its Relationship To The U.S. Healthcare System Stuart H. Altman, Ph.D. Sol C. Chaikin Professor of National Health Policy Brandeis University Should Medicare Focus Only on The Functioning
More informationSocial health protection : Comparison between Belgium and Thailand. Thomas Rousseau COOPAMI-NIHDI
Social health protection : Comparison between Belgium and Thailand Thomas Rousseau COOPAMI-NIHDI 3.11.2014 Overview 1. Comparison between Belgium and Thailand 2. The Belgium system more in detail Overview
More informationA Short Guide to NHS Foundation Trusts
A Short Guide to NHS Foundation Trusts 1. A new type of NHS hospital 1.1 The next five years will see major changes to the way hospital services are provided. Local communities and staff are to be given
More informationManaging the boundaries of NHS and privately funded healthcare Policy on the separation of private and NHS treatments
South Central Priorities Committees (Oxfordshire PCT) Policy Statement 67a: Managing the boundaries of NHS and privately-funded healthcare Clinical Executive decision: September 2009 Date of Issue: April
More informationNational Initiatives Impacting Healthcare Information Technology (HCIT) in the United Kingdom ehealth Action Plan to Increase HCIT Market Maturity
National Initiatives Impacting Healthcare Information Technology (HCIT) in the United Kingdom ehealth Action Plan to Increase HCIT Market Maturity January 2015 Contents Section Slide Number Executive Summary
More informationHiT summary. Spain. Health Systems in Transition. Introduction. Observatory. Government and recent political history. Population
Health Systems in Transition HiT summary European Observatory on Health Systems and Policies Spain Fig.1 Health care expenditure as a proportion of GDP in Spain, selected countries and EU average, 2003,
More informationSwe den Structure, delive ry, administration He althcare Financing Me chanisms and Health Expenditures Quality of Bene fits, C hoice, Access
Sweden Single payer, universal healthcare system, with 21 county councils as the primary payer (reimburser) Administration of healthcare plan is decentralized in the hands of the county councils Central
More informationXerox Custom Healthcare Solution
Xerox Custom Healthcare Solution Xerox HR Services has undertaken a comprehensive review of the employee benefits market, assessing all of the major providers, in order to develop our Xerox Custom Healthcare
More informationGuidance on NHS patients who wish to pay for additional private care
Guidance on NHS patients who wish to pay for additional private care DH INFORMATION READER BOX Policy HR / Workforce Management Planning / Clinical Document Purpose Gateway Reference Title Author Publication
More informationHEALTH AND EDUCATION
A PICTURE OF HEALTH AND EDUCATION Higher education a core strategic asset to the UK WWW.UNIVERSITIESUK.AC.UK HIGHER EDUCATION IN FOCUS: PROFESSORS AND PATIENTS Foreword Our universities are an indispensible
More informationCircle Health Care - A Case Study in Successful Investment
PRIVATE HEALTHCARE MARKET INVESTIGATION Summary of hearing with Circle Health Partnership held on 8 March 2013 Background 1. Circle Health Partnership (Circle) told us that although it had built two private
More informationThe UK National Health Service in evolution. Sir Jonathan Michael Chief Executive Oxford Radcliffe Hospitals NHS Trust
The UK National Health Service in evolution Sir Jonathan Michael Chief Executive Oxford Radcliffe Hospitals NHS Trust Background of the NHS Established on 5 th July 1948 by post-war Labour government.
More informationHow To Get Health Care In The United States
THE COMMONWEALTH FUND 2005 INTERNATIONAL SYMPOSIUM ON HEALTH CARE POLICY DESCRIPTIONS OF HEALTH CARE SYSTEMS: AUSTRALIA, CANADA, GERMANY, THE NETHERLANDS, NEW ZEALAND, THE UNITED KINGDOM, AND THE UNITED
More informationIMPROVING DENTAL CARE AND ORAL HEALTH A CALL TO ACTION EVIDENCE RESOURCE PACK
IMPROVING DENTAL CARE AND ORAL HEALTH A CALL TO ACTION EVIDENCE RESOURCE PACK NHS England Dental Analytical Team February 2013/14 Gateway reference: 01173 Introduction to this pack This data pack has been
More informationTo: Interested Parties. Our reference: MLX 310 Date: 2 August 2004. Dear Sir/Madam
To: Interested Parties 020 7084 2642 020 7084 2121 anne.thyer@mhra.gsi.gov.uk Our reference: MLX 310 Date: 2 August 2004 Dear Sir/Madam PROPOSALS TO ENABLE THE USE OF ELECTRONIC SIGNATURES ON PRESCRIPTIONS
More informationHow To Compare Health Care In European Countries
What do European models offer the U.S. health reform debate? Many U.S. policymakers believe that most European countries have achieved universal coverage by using a financing and care delivery system similar
More informationSafer recruitment scheme for the issue of alert notices for healthcare professionals in England
Safer recruitment scheme for the issue of alert notices for healthcare professionals in England November 2006 The issue of alert notices for healthcare professionals Summary 1. NHS Employers and the Department
More informationA Journey to Improve Canada s Healthcare System
A Journey to Improve Canada s Healthcare System The Quest Can a public/private hospital system coexist and thrive and improve Canada s system? The Journey Visited Australia and New Zealand to find out
More information112 billion. Current NHS spending in England. by Sarah Lafond. January 2015 FUNDING OVERVIEW
FUNDING OVERVIEW January 2015 Current NHS spending in England by Sarah Lafond SEE BRIEFING: NHS Finances The challenge all political parties need to face www.health.org.uk/ fundingbriefing Spending on
More informationCertain delegated powers in the Health and Social Care Bill entail replacing the current mandatory system with a discretionary one.
Health and Social Care Bill 2011 Briefing House of Lords Professor Allyson Pollock and David Price 11 October 2011 Clauses 1, 10, 11 and 172 Professor Allyson Pollock is Professor of Public Health Research
More informationNHS funding and expenditure
NHS funding and expenditure Standard Note: SN/SG/ Last updated: April Author: Rachael Harker, Social and General Statistics Expenditure on the NHS has risen rapidly and consistently since it was established
More informationPublic payment and private provision
Understanding competition and choice in the NHS Public payment and private provision The changing landscape of health care in the 2000s Research report Sandeepa Arora and Anita Charlesworth, Nuffield Trust
More informationPublic / private mix in health care financing
Public / private mix in health care financing Dominique Polton Director of strategy, research and statistics National Health Insurance, France Couverture Public / private mix in health care financing 1.
More informationCOUNTRY UPDATE ORGANISATION OF THE HEALTH CARE SYSTEM IN AUSTRALIA
COUNTRY UPDATE ORGANISATION OF THE HEALTH CARE SYSTEM IN AUSTRALIA 1. Organisation Briefly outline the structural provision of health care. The Australian health system is complex, with many types and
More informationIntermediate care and reablement
Factsheet 76 May 2015 About this factsheet This factsheet explains intermediate care, a term that includes reablement. It consists of a range of integrated services that can be offered on a short term
More informationfrequently asked questions
Healthcare benefits: frequently asked questions About healthcare benefits What is private medical insurance? Private medical insurance (PMI) is a scheme designed to meet the cost of private medical treatment
More informationThe practice of medicine comprises prevention, diagnosis and treatment of disease.
English for Medical Students aktualizované texty o systému zdravotnictví ve Velké Británii MUDr Sylva Dolenská Lesson 16 Hospital Care The practice of medicine comprises prevention, diagnosis and treatment
More informationHow To Be A Successful Health And Social Care Leader
Clinical commissioning group governing body members: Role outlines, attributes and skills October 2012 Clinical commissioning group governing body members: Roles outlines, attributes and skills First published
More informationHOSPITALS IN EUROPE HEALTHCARE DATA
HOSPITALS IN EUROPE HEALTHCARE DATA 2012 LIST OF CONTENTS FOREWORD AND METHODOLOGICAL PREMISES - 6-1 HEALTHCARE SYSTEM AND POPULATION HEALTH - 8-1.1 DEMOGRAPHIC TRENDS - 8-1.2 FINANCIAL RESOURCES - 9-2
More informationADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS
ADULT HEALTH AND WELLBEING LONG-TERM NEUROLOGICAL CONDITIONS i. Summary The National Service Framework for long-term neurological conditions categorises neurological conditions as: Sudden-onset conditions
More informationHEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS
HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS "HEALTH PROFESSIONALS IN EUROPE: NEW ROLES, NEW SKILLS" HOPE EXCHANGE PROGRAMME 2009 HOPE, the European Hospital and Healthcare Federation, is a non-profit
More informationComparative Health Care Systems. Folland et al Chapters 22
Comparative Health Care Systems. Folland et al Chapters 22 Chris Auld Economics 317 March 23, 2012 Health Care Systems. There are many different forms of health care delivery in place in different countries.
More informationThe interface between the NHS and private treatment: a practical guide for doctors in Scotland
The interface between the NHS and private treatment: a practical guide for doctors in Scotland Guidance from the BMA Medical Ethics Department September 2009 Introduction General principles Issues for
More informationConsultation Paper on Minimum Benefit Regulations in the Irish Private Health Insurance Market
Consultation Paper on Minimum Benefit Regulations in the Irish Private Health Insurance Market July, 2010 Introduction The Health Insurance Authority The Authority is a statutory regulator for the Irish
More informationGP Patient Survey Your Doctor, Your Experience, Your Say
To: GP Practices Chief Executives of Primary Care Trusts Dear Colleague GP Patient Survey Your Doctor, Your Experience, Your Say This letter confirms arrangements for delivery of the 2008 GP Patient Survey.
More informationRCN INTERNATIONAL DEPARTMENT
RCN INTERNATIONAL DEPARTMENT Royal College of Nursing (UK) consultation response to the European Commission s Green Paper on the European Workforce for Health. With a membership of just under 400,000 registered
More informationHealth at a Glance: Europe 2014
Health at a Glance: Europe 2014 (joint publication of the OECD and the European Commission) Released on December 3, 2014 http://www.oecd.org/health/health-at-a-glance-europe-23056088.htm Table of Contents
More informationPrivate Patient Policy. Documentation Control
Documentation Control Reference Date approved Approving Body Trust Board Implementation Date July 2009 NUH Private Patient and Supersedes Overseas Visitor Policy Private Patient Advisory Group, Consultation
More informationPrivate health care cost containment and supply-side regulation. CMS presentation to the Health Portfolio Committee 2014
1 Private health care cost containment and supply-side regulation CMS presentation to the Health Portfolio Committee 2014 2 Contents Introduction Private hospital context Economic considerations Concentration
More informationDirectors of Public Health in Local Government
Directors of Public Health in Local Government i) Roles, responsibilities and context 1 DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider
More informationA Short Guide to NHS Foundation Trusts
A Short Guide to NHS Foundation Trusts 1 A new type of NHS hospital NHS Foundation Trusts Ten Key Points 1.1 NHS Foundation Trusts are at the cutting edge of the Government s commitment to devolution and
More informationPrivate Healthcare Market Study
Private Healthcare Market Study Report on the market study and proposed decision to make a market investigation reference. December 2011 OFT1396 Crown copyright 2011 You may reuse this information (not
More informationAn overview of the healthcare system in Taiwan
London Journal of Primary Care 2010;3:115 19 # 2010 Royal College of General Practitioners International An overview of the healthcare system in Taiwan Tai-Yin Wu MD Visiting Research Fellow, Department
More informationUHI Explained. Frequently asked questions on the proposed new model of Universal Health Insurance
UHI Explained Frequently asked questions on the proposed new model of Universal Health Insurance Overview of Universal Health Insurance What kind of health system does Ireland currently have? At the moment
More informationComparison of Healthcare Systems in Selected Economies Part I
APPENDIX D COMPARISON WITH OVERSEAS ECONOMIES HEALTHCARE FINANCING ARRANGEMENTS Table D.1 Comparison of Healthcare Systems in Selected Economies Part I Predominant funding source Hong Kong Australia Canada
More informationHealth Care Expenditure and Financing in the United Kingdom
RP09/PLC Health Care Expenditure and Financing 24 June 1998 Prepared by Ms Eva LIU Miss Elyssa WONG Research and Library Services Division Provisional Legislative Council Secretariat 5th Floor, Citibank
More informationBriefing. Independent sector treatment centres. October 2009. Introduction. Why were they introduced?
October 2009 Independent sector treatment centres Introduction (ISTCs) provide services to NHS patients but are owned and run by organisations outside the NHS. They were introduced in England in 2003,
More informationBriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005
ACCESS TO HEALTH CARE OCTOBER 2005 BriefingPaper Towards faster treatment: reducing attendance and waits at emergency departments Key messages based on a literature review which investigated the organisational
More informationGlossary. Adults: Individuals ages 19 through 64. Allowed amounts: See prices paid. Allowed costs: See prices paid.
Glossary Acute inpatient: A subservice category of the inpatient facility clams that have excluded skilled nursing facilities (SNF), hospice, and ungroupable claims. This subcategory was previously known
More informationEmergency admissions to hospital: managing the demand
Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 Our vision is to help the nation spend wisely.
More informationDefining the boundaries between NHS and Private Healthcare
Commissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare 1. Definitions Private patients are patients who receive private healthcare, funded on a pay-asyou-go basis
More informationInstruments to control and finance the building of healthcare infrastructure in other countries of the European Union
Summary and conclusions This report describes the instruments by which the respective authorities of eight important European Union members control the building, financing and geographical distribution
More informationHealth Care Systems: An International Comparison. Strategic Policy and Research Intergovernmental Affairs May 2001
Health Care Systems: An International Comparison Strategic Policy and Research Intergovernmental Affairs May 21 1 Most industrialized countries have established hybrid systems in which the public sector,
More informationThe End of Life Care Strategy promoting high quality care for all adults at the end of life. Prof Mike Richards July 2008
The End of Life Care Strategy promoting high quality care for all adults at the end of life Prof Mike Richards July 2008 The End of Life Care Strategy: Rationale (1) Around 500,000 people die in England
More informationStatement of Need for future Health provision in Thetford.
Statement of Need for future Health provision in Thetford. 1. Background and Purpose Under current legislation planning authorities are required to ensure that adequate infrastructure is provided in order
More informationNational Minimum Standards for Immunisation Training
National Minimum Standards for Immunisation Training Contributors The following formed the advisory group which, hosted by the Health Protection Agency, produced these Minimum Standards for Immunisation
More informationCompetition in health care: What can we learn from the UK?
Competition in health care: What can we learn from the UK? Carol Propper Imperial College London & University of Bristol AIES XVII Rome November 2012 The appeal of competition Market-oriented approaches
More informationCommission on the Future of Health and Social Care in England. The UK private health market
Commission on the Future of Health and Social Care in England The UK private health market The NHS may dominate the provision of health care in England, but that still leaves the country with a significant
More informationBRIEFING 46% NHS Finances The challenge all political parties need to face. by Anita Charlesworth. January 2015
BRIEFING January 2015 by Anita Charlesworth NHS Finances The challenge all political parties need to face SEE FUNDING OVERVIEWS: www.health.org.uk/ fundingoverview The NHS is one of the key issues of public
More informationReciprocal Health Care Agreements
Reciprocal Health Care Agreements Access and Benefits provided In RHCA countries If you travel overseas you can get help with the cost of essential medical treatment in some countries under the Australian
More informationMeasuring quality along care pathways
Measuring quality along care pathways Sarah Jonas, Clinical Fellow, The King s Fund Veena Raleigh, Senior Fellow, The King s Fund Catherine Foot, Senior Fellow, The King s Fund James Mountford, Director
More informationA Report to the Minister for Health and Children. Competition in the Irish Private Health Insurance Market Executive Summary
A Report to the Competition in the Irish Private Health Insurance Market Executive Summary January 2007 EXECUTIVE SUMMARY AND RECOMMENDATIONS E 1. E 2. The Irish private health insurance market is community
More informationSubmission to the Health Information Authority (HIA) on Minimum Benefits Regulations in the Irish Private Health Insurance Market
Submission to the Health Information Authority (HIA) on Minimum Benefits Regulations in the Irish Private Health Insurance Market September 2010 IMO Submission to the Health Information Authority (HIA)
More informationThe interface between NHS and private treatment: a practical guide for doctors in England, Wales and Northern Ireland
The interface between NHS and private treatment: a practical guide for doctors in England, Wales and Northern Ireland Guidance from the BMA Medical Ethics Department May 2009 Introduction General principles
More informationQuality in and Equality of Access to Healthcare Services
Quality in and Equality of Access to Healthcare Services Executive Summary European Commission Directorate-General for Employment, Social Affairs and Equal Opportunities Manuscript completed in March 2008
More informationHealth and Social Care Act 2012
Health and Social Care Act 2012 CHAPTER 7 Explanatory Notes have been produced to assist in the understanding of this Act and are available separately 44.75 Health and Social Care Act 2012 CHAPTER 7 CONTENTS
More informationNorth Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board
North Middlesex University Hospital NHS Trust Annual Audit Letter 2005/06 Report to the Directors of the Board 1 Introduction The Purpose of this Letter 1.1 The purpose of this Annual Audit Letter (letter)
More informationInformation Governance. A Clinician s Guide to Record Standards Part 1: Why standardise the structure and content of medical records?
Information Governance A Clinician s Guide to Record Standards Part 1: Why standardise the structure and content of medical records? Contents Page 3 A guide for clinicians Pages 4 and 5 Why have standards
More informationWhole Site Master Planning Excercise
Whole Site Master Planning Excercise 2008 2018 Consultant Briefing Paper Delivering the best in care www.uhb.nhs.uk/wholesitemasterplanning Queen Elizabeth Medical Centre Multistorey Car Park Birmingham
More informationExpenditure and Outputs in the Irish Health System: A Cross Country Comparison
Expenditure and Outputs in the Irish Health System: A Cross Country Comparison Paul Redmond Overview This document analyzes expenditure and outputs in the Irish health system and compares Ireland to other
More information(Health Scrutiny Sub-Committee 10 March 2008)
Somerset County Council Health Scrutiny Sub-Committee 10 March 2008 (Health Scrutiny Sub-Committee 10 March 2008) Non-Emergency Transport for Health Patients in Somerset Lead Officer: Keith Wiggins, Scrutiny
More informationGP-led health centres. Background Briefing
GP-led health centres Background Briefing Equitable Access to Primary Medical Care Lord Darzi is an eminent surgeon who is currently serving as a junior health minister. In June 2007 the Secretary of State
More informationHealth Insurance. A Small Business Guide. New York State Insurance Department
Health Insurance A Small Business Guide New York State Insurance Department Health Insurance A Small Business Guide The Key Health insurance is a key benefit of employment. Most organizations with more
More informationHealth care in Australia
Health care in Australia Stephen R. Leeder MD Professor of Public Health and Community Medicine Director The Menzies Centre for Health Policy The University of Sydney March 26th 2012 Australia at a glance
More informationEquity and excellence: liberating the NHS. Coalition government s health white paper - published 12 July 2010
Equity and excellence: liberating the NHS Coalition government s health white paper - published 12 July 2010 VSS policy briefing: July 2010 CONTENTS INTRODUCTION... 3 THE GOVERNMENT S VISION FOR THE NHS
More informationINTERNATIONAL PRICE COMPARISON: THE CYPRIOT EXAMPLE. Athos Tsinontides Health Insurance Organisation
INTERNATIONAL PRICE COMPARISON: THE CYPRIOT EXAMPLE Athos Tsinontides Health Insurance Organisation CYPRUS CYPRUS Kypros Demographics Population (2004): Gross Domestic Product (GDP): Total Health Expenditure
More informationCost Effectiveness, Reimbursement and Medical Devices. Colin Hopley M.Eng MBA MPH
Cost Effectiveness, Reimbursement and Medical Devices Colin Hopley M.Eng MBA MPH Agenda Health Care Environment Policy options - Health Technology Assessment (HTA) - Reimbursement Influence of innovation
More informationSCHEDULE OF THIRD PARTIES WITH WHOM THE TRUST HAS A DUTY OF CO-OPERATION
Directorate of Clinical and Quality Assurance & Trust Secretary SCHEDULE OF THIRD PARTIES WITH WHOM THE TRUST HAS A DUTY OF CO-OPERATION Reference: CEM004 Version: 1.4 This version issued: 14/12/12 Result
More informationHaslemere Health Centre & Grayshott Surgery Commissioning Data Quality Audit Report
Haslemere Health Centre & Grayshott Surgery Commissioning Data Quality Audit Report October 2010: Results from historic analysis This report covers the findings of a pilot which we were commissioned to
More information3. Financing. 3.1 Section summary. 3.2 Health expenditure
3. Financing 3.1 Section summary Malaysia s public health system is financed mainly through general revenue and taxation collected by the federal government, while the private sector is funded through
More informationHow To Provide Community Detoxification
Summary Forty individuals attended the consultation event on 24 June 2010, and 16 individuals returned their views through the consultation response form. Respondents included GPs, practice nurses, service
More informationDESCRIPTIONS OF HEALTH CARE SYSTEMS: GERMANY AND THE NETHERLANDS
DESCRIPTIONS OF HEALTH CARE SYSTEMS: GERMANY AND THE NETHERLANDS The German Health Care System Reinhard Busse, M.D. M.P.H. Professor of Health Care Management Berlin University of Technology & Charité
More information