Local funding allocations

Funding healthcare: Making allocations to local areas, National Audit Office, 2014. The NAO found that “There is wide variation in the extent to which the funding that local commissioners receive differs from their target allocations. In 2014-15, over three – quarters of local authorities, and nearly two-fifths of clinical commissioning groups, are more than 5 percentage points above or below target.” And that “There is an association between the financial position of clinical commissioning groups and whether they receive less or more than their target funding allocation.” Report

Local allocations:
Darlington CCG +09%
Durham Dales, Easington and Sedgefield CCG +4.8%
North Durham CCG +2.2%

Review of the impact of NHS reforms in England

‘The wrong medicine. A review of the impacts of NHS reforms in England’ By New Economics Foundation (NEF), an independent think-and-do tank, published in 2014. The report found no sound evidence for claims that increased competition improved the efficiency or the quality of health care. However, these reforms are costly: “The recurring costs of market mechanisms in the NHS have been conservatively estimated at £4.5bn a year. This could pay for ten specialist hospitals, 174,798 extra nurses, 42,413 extra GPs or 39,473,684 extra patient visits to A&E.” Press release Report

Private sector wins NHS contracts

“A third of NHS contracts awarded since health act have gone to private sector” according to a BMJ investigation. Freedom of Information requests showed that between April 2013 and August 2014 33% of contracts were awarded to private providers and 13% to other types of non-NHS providers. Only 55% were awarded to NHS providers.
Story: BMJ 2014;349:g7606

NHS expenditure on management consultancy

“A Freedom of Information request showed a doubling of annual NHS spending on consultancy from £313m to £640m between 2010 and 2014—enough to run three medium sized hospitals or employ about 2000 extra nurses” according to a recent ‘Personal view’ in the BMJ.
Story: BMJ 2014;349:g7243
Department of Health FOI release ref. no. 848977 (you have to request to see it)

Vision for a health and care system

The King’s Fund. A new settlement for health and social care. 2014, is the final report from the independent Commission on the Future of Health and Social Care in England. Key findings include: “The commission recommends moving to a single, ring-fenced budget for the NHS and social care, with a single commissioner for local services.” “The commission largely rejects new NHS charges and private insurance options in favour of public funding.” Report