Globalisation and Health Service Provision. The British Context Expansion of NHS Funding More Private / International Providers Primary Care Trusts /

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Presentation transcript:

Globalisation and Health Service Provision

The British Context Expansion of NHS Funding More Private / International Providers Primary Care Trusts / Care Trusts Foundation Hospitals / Franchises Private Finance Initiative = Non-Commercial Basis ?

World Trade Organisation TRIPS GATS - Most Favoured Nation - National Treatment

Modes of Supply Cross Border Trade (e.g. Tele-health) Consumption Abroad Commercial Presence Presence of Natural Persons

Article 1.3 Government services are exempt where they are: supplied neither on a commercial basis, nor in competition with one or more service suppliers.

Summary Services are Internationalising Governments are Privatising GATS Facilitates Both Watch the Doha Round Carefully!

International Organisations WHO / GPPPs International Monetary Fund (IMF) World Bank World Trade Organisation (WTO) / GATT

A Typology of Healthcare Companies Providers of Services Producers of Goods Suppliers of Services Health Insurers Premises Companies