The four health systems of the United Kingdom: how do they compare?: summary

Document type
Bevan, Gwyn; Karanikolos, Marina; Exley, Jo
Health Foundation
Date of publication
1 April 2014
Health Services
Social welfare
Material type

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This report assesses the performance of the NHS on the quality of patient care in all four UK countries since devolution. Since political devolution in 1999, there has been increasing policy divergence between the health systems of the four countries of the United Kingdom (UK).

This report attempts to update earlier comparisons of the publicly financed health systems of England, Scotland, Wales and Northern Ireland in terms of funding, inputs and performance before and since devolution. It also includes comparisons with the North East of England, which has been chosen as a better comparator with the three devolved nations than England as a whole. This report gives trends over time for a wider range of performance indicators from the late 1990s to 2011/12, or 2012/13 where data were available