Healthy finances: options for funding an NHS spending increase

Document type
Bangham, George; Corlett, Adam; Whittaker, Matt
Resolution Foundation
Date of publication
12 June 2018
Health Services, Poverty Alleviation Welfare Benefits and Financial Inclusion
Social welfare
Material type

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This briefing looks at the scale of future NHS spending and speculates on how the government may meet those costs.

Key findings:

  • While a National Insurance rise would be progressive across the income distribution, it would be unfair from a generational perspective as those over state pension age would not be asked to contribute.
  • A better approach in this area would be to extend National Insurance contributions to the earnings (and to some elements of occupational pension income) of those above the state pension age.
  • Putting health funding on a generationally fair footing should also involve major reform of the UK’s approach to wealth taxes – particularly council tax.

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