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John Appleby takes a closer look at how spending on the provision of health and social care in England may change in the next 50 years.
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Future health and social care spending pressures
John Appleby Chief Economist, The King’s Fund
What is driving increased spending?
What is driving increased spending?
Demographic factors and health status
What is driving increased spending?
Demographic factors and health status Income
What is driving increased spending?
Demographic factors and health status Income Consumer/patient behaviours
What is driving increased spending?
Demographic factors and health status Income Consumer/patient behaviours Treatment practices
What is driving increased spending?
Demographic factors and health status Income Consumer/patient behaviours Treatment practices Technological progress
What is driving increased spending?
Demographic factors and health status Income Consumer/patient behaviours Treatment practices Technological progress Health prices and productivity
What is driving increased spending?
Demographic factors and health status Income Consumer/patient behaviours Treatment practices Technological progress Health prices and productivity Health care system organisation
Key questions
Key questions
Will people be willing to pay the same or indeed increasing levels of taxes?
Key questions
Will people be willing to pay the same or indeed increasing levels of taxes? Will the government be willing and able to increase borrowing?
Key questions
Will people be willing to pay the same or indeed increasing levels of taxes? Will the government be willing and able to increase borrowing? Will there be an expectation that people should take greater personal responsibility?
‘What outcomes will be possible for our future health? What resources will be needed to achieve them, in health care and elsewhere? How can we minimise the cost and how do we decide how much is justified? How do we create the flexibility to react when inevitably circumstances change? Is there a willingness and an ability, individually or collectively, to pay the cost?’ Sir Derek Wanless
Wanless D, Appleby J, Harrison A, Patel D (2007). Our future health secured?: A review of NHS funding and performance, London: The King’s Fund.
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