1. the voice of healthcare finance… The pros and cons of UK health system Presentation to the Region 11 Symposium 29 th January 2008 Mark Knight Chief Executive, HFMA - UK

2. the voice of healthcare finance… GREETINGS FROM UK - HFMA

3. United Kingdom - population England 50,431,700 Scotland 5,094,800 Wales 2,958,600 Northern Ireland 1,724,400 Total: 60,209,500

4. the voice of healthcare finance… Spending Increases Average real- terms growth in the spending of the NHS is set to reach 9.5%.

5. the voice of healthcare finance… Health Expenditure NHS second largest Government spending programme. UK health spending is to rise to around 9.4% of GDP by 2007-08. However it still leaves the UK short of current spending levels in France (9.6%), Germany (10.7%) and way behind the USA (>15%).

6. the voice of healthcare finance… What’s included and what’s not! 1.Primary Care 2.Secondary Care 3.Tertiary Care 4.Accident and Emergency 5.Prescription benefits 6.Elderly care 7.Dental, optical care and other services

7. the voice of healthcare finance… The Pros of the system 1.Free universal access based on need and not ability to pay as enshrined in Health Act 1948 2.Peace of mind for the citizen - no problem with whether you’re covered 3.Planning and co-ordination advantages 4.Low management costs 5. Cash limited system provides incentive for good financial discipline 6. Clear focus on addressing inequality 7.Networking and organisational benefits for staff

8. the voice of healthcare finance… The cons of the system 1. Waiting (more perception than reality) 2. Political meddling 3. Hidden cost to the citizen – higher taxation 4. Access to the very latest technology/ investing in new technology 5. Zipcode problems

9. the voice of healthcare finance… Thanks for listening Mark.knight@hfma.org.uk