🧵THREAD about public/healthcare funding
1/
🗣️ "We must not resort to infighting...instead of placing the focus of our rage where it deserves to be placed – at the feet of those who have been managing the NHS in recent years."
1/
🗣️ "We must not resort to infighting...instead of placing the focus of our rage where it deserves to be placed – at the feet of those who have been managing the NHS in recent years."
https://twitter.com/dr_musgrave/status/1365013061342535683
2/
It's not only mismanagement. It's consistent underfunding.
When you look at the govt's own figures, it looks like public spending is increasing: gov.uk/government/sta…
Note the y-axis is £ billions but not accounting for inflation (nothing about real terms).
It's not only mismanagement. It's consistent underfunding.
When you look at the govt's own figures, it looks like public spending is increasing: gov.uk/government/sta…
Note the y-axis is £ billions but not accounting for inflation (nothing about real terms).
3/
When you look in detail it looks like health spending is increasing and social care is constant.
Note the y-axis is £ billions but now IS accounting for inflation.
When you look in detail it looks like health spending is increasing and social care is constant.
Note the y-axis is £ billions but now IS accounting for inflation.
4/
But when you look at public spending as a proportion of GDP public spending is actually decreasing: ifs.org.uk/election/2019/…
From around 46 % to < 40% in the modern day.
Note the y-axis is shrunken and does not start at 0 %.
@TheIFS @PJTheEconomist @HelenMiller_IFS
But when you look at public spending as a proportion of GDP public spending is actually decreasing: ifs.org.uk/election/2019/…
From around 46 % to < 40% in the modern day.
Note the y-axis is shrunken and does not start at 0 %.
@TheIFS @PJTheEconomist @HelenMiller_IFS
5/
And then look at health spending as a fraction of GDP. It has gone down over the last decade: nhsconfed.org/-/media/Confed…
@NHSE_Danny @NHSConfed
@AnitaCTHF @HealthFdn
@PJTheEconomist @TheIFS
And then look at health spending as a fraction of GDP. It has gone down over the last decade: nhsconfed.org/-/media/Confed…
@NHSE_Danny @NHSConfed
@AnitaCTHF @HealthFdn
@PJTheEconomist @TheIFS
7/
However perhaps other sectors of public spending have had cuts but is this in real terms: nhsconfed.org/-/media/Confed…
Note the axis is in £ billions.
How much is this as a fraction of GDP?
However perhaps other sectors of public spending have had cuts but is this in real terms: nhsconfed.org/-/media/Confed…
Note the axis is in £ billions.
How much is this as a fraction of GDP?
8/
Maybe there is room for improvement - our spending on the 'nanny state' is pretty small compared to other country with far better health outcomes.
Yes - I'm citing Scandinavia unashamedly.
Maybe there is room for improvement - our spending on the 'nanny state' is pretty small compared to other country with far better health outcomes.
Yes - I'm citing Scandinavia unashamedly.
9/
Yes funding for new hospitals is welcome: gov.uk/government/new…
But why just secondary care?
What about investment in the causes of worsening health inequality?
Yes funding for new hospitals is welcome: gov.uk/government/new…
But why just secondary care?
What about investment in the causes of worsening health inequality?
10/
When you read the @MichaelMarmot's @TheMarmotReview you find the cuts to public spending were associated with stalling life expectancy and increased health inequality:
When you read the @MichaelMarmot's @TheMarmotReview you find the cuts to public spending were associated with stalling life expectancy and increased health inequality:
https://twitter.com/DipeshGopal/status/1234089003693039616
11/
In conclusion
1⃣ Look at % GDP spending over real terms
2⃣ Let's not just focus on healthcare spending, but it's important.
3⃣ We must urgently focus on the causes of poor health
Read this from @sandrogalea: publichealthpost.org/the-publics-he…
In conclusion
1⃣ Look at % GDP spending over real terms
2⃣ Let's not just focus on healthcare spending, but it's important.
3⃣ We must urgently focus on the causes of poor health
Read this from @sandrogalea: publichealthpost.org/the-publics-he…
@threadreaderapp unroll please
Thread may be of interest to you: @BecksFisher @monica_sharman @inequality_mat @deependgp @enamhaque31 @mellojonny @Medact @DocDomP @bevtayloryork @NathanielAspray @fairhealthuk @rmsteen
Thread may be of interest to you: @BecksFisher @monica_sharman @inequality_mat @deependgp @enamhaque31 @mellojonny @Medact @DocDomP @bevtayloryork @NathanielAspray @fairhealthuk @rmsteen
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