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Welfare Reform on the Web (September 1999): National Health Service - Funding

A HEALTHY BALANCE: FINANCIAL MANAGEMENT IN THE NHS

Audit Commission

Abingdon: Audit Commission Publications, 1999

A string of tight financial settlements for the NHS has resulted in a cumulative defecit of more than £540 million in 1997/98. Almost all health authorities have used some growth monies, intended to improve services, to solve financial problems instead. Similarly NHS trusts have switched capital spending to revenue for the same reason.

MONEY DOWN THE DRAINS

A. Maynard

Health Service Journal, vol.109, June 10th 1999, p.18-19

Argues that as many as 550 public health physicians could be replaced by non-medical specialists, freeing about £14 million to be spent on patient care.

NHS PLANS HIT BY LACK OF MONEY

D. Brindle

Guardian, May 27th 1999, p.10

Reports that the cash injection of £21 billion into the NHS in the years to 2002 has been whittled away by pay deals, above inflation increases in capital charges and the cost of blood products, the impact of the working time directive and a steep rise in NHS pension costs. Results of a survey have suggested that two thirds of hospital trusts and one in two health authorities expect to be overspent this year in consequence.

(See also Financial Times, May 27th 1999, p.12)

TOUCH OF CLASS

W. Moore

Health Service Journal, vol.109, June 3rd 1999, p.22-24

Reports on research carried out at Portsmouth University on how hospitals were funded before the foundation of the NHS. Results show that the proportion of income hospitals earned from traditional charity declined steadily between 1891 and 1928. Instead, hospitals increasingly relied on patients' payments, weekly workplace collections, and local authority payments for specific services.

WHAM BAMM

K. McIntosh

Health Service Journal, vol.109, June 10th 1999, p.12-13

Reports that Health Minister John Denham has informed the British Association of Medical Managers Conference that there will be no extra funding to cover the costs of clinical governance.

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