SHOULD NHS BE PRIVATISED ?

High Quality Care For All High Quality Care For All
High Quality Care For All High Quality Care For

ARGUMENTS
INTRODUCTION
LEADERSHIP MODEL
NHS STRUCTURE
NHS NEXT STAGE
CHALLENGES REVIEW

DEVELOPING RISKS CONCLUSION

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High Quality Care For All High Quality Care For All
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 INTRODUCTION

“Good healthcare should be available to all, regardless of wealth.”

Launched in 1948, the NHS has grown to become the world’s largest publicly funded
health service.
Funding
Funded centrally from national taxation, NHS services in England, Northern
Ireland, Scotland and Wales are managed separately . Distribution of Budget
PAY STAFF
An average rise in spending over the full 60-year period of
about 3% a year once inflation has been taken into account . 60%

The 2007/8 budget roughly equates to a contribution of

£1,500 for every man, woman and child in the UK . 20% 20%
SUPPLIES INFRA
Scale STRUCTURE
Nationwide, the NHS employs more than 1.5m people.
90,000 hospital doctors, 35,000 general practitioners (GPs)
400,000 nurses and 16,000 ambulance staff.
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 NHS STRUCTURE

NHS is divided into two sections: primary and secondary care.

Primary care is generally

regarded as a “frontline”
service .

Secondary care is known

as acute health care and can
be either elective care or
emergency care

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SIGNIFICANT CHALLENGES

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 DEVELOPING RISKS

Serious risk of developing into full scale privatisation in NHS.

The private finance initiative

(PFI)

Public private partnerships

(PPP)

Campaigners trying to save Chase

Farm hospital greet a visit by the health
secretary in 2007.

Attempts to drive through market based “efficiencies” in the health service have
triggered angry protests up and down the country . 5
 PERFORMANCE
The Healthcare Commission has published its most in-depth analysis of
the performance of England’s 570 NHS trusts across a range of
categories.

The services measure included

patient access, safety and the way
the services are run .

The resources measure gauged

financial performance..
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 REFORM & MODERNISATION

 Confidence in public services

 Contract out its services
 Separate the buildings from the
service provided in them and bring in the
private sector to build and/or run the buildings

 Introduce internal markets

 Introduce commercial accounting systems
and private financing .
 Introduce user charges and private insurance

 Allocate resources on the basis of an individual patient's health risks rather than a
population's health needs

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 ARGUMENTS/CONTROVERSIES
FAVOR
Noticeable commitment to the virtues of
private enterprise and competition in the
free market.
Funding/Injections: The nature of
private businesses fosters an environment
of competition, and with it the
improvement of resources and facilities .
Population: Population of this country is
ageing, and will pose an even bigger
burden on state funds as time goes by.
Interest:Privatisation gives ordinary
people the chance to become share
holders in the health service
AGAINST
Government should raise taxes in order
for the public to raise the standard of a
national health care service for all.
The question of prioritising health care
and rationing will always favour the rich,
since targeting vulnerable groups will be
an inefficient use of resources
The nature of health as a basic human
right – not one to be dependent on how
much health care you can afford .
The nationalisation of the NHS at present
allows the people more influence over it’s
services through democratic
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accountability of the government.
 WHY NOT PRIVITIZATION?

 Profit Health Care rather than Public Health Care

 More Expensive
 Less Efficient
 Quality not assured.
 Inequality in Society

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LEADERSHIP FOR QUALITY

“Making change happen”

Embed in training

New standards

NHS Leadership Council

Support Boards

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 FIRST NHS CONSTITUTION

Secured today for future generations

Secured today for future generations

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OUR NHS OUR FUTURE

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 CONCLUSION

 A market-based approach to health not only drives up the cost of health care
but also changes the services that do get provided.

 A market-based approach promises that good health can be bought and sold
in the marketplace. It can't.

“Who takes care of those who can't afford the health care
services, or for whom health care is no longer provided? “

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THANKS FOR LISTENING

QUESTIONS??

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