{"id":58463,"date":"2021-08-05T08:23:46","date_gmt":"2021-08-05T07:23:46","guid":{"rendered":"https:\/\/www.taxresearch.org.uk\/Blog\/?p=58463"},"modified":"2021-08-05T09:12:10","modified_gmt":"2021-08-05T08:12:10","slug":"the-nhs-is-suffering-from-underfunding-and-its-showing","status":"publish","type":"post","link":"https:\/\/www.taxresearch.org.uk\/Blog\/2021\/08\/05\/the-nhs-is-suffering-from-underfunding-and-its-showing\/","title":{"rendered":"The NHS is suffering from underfunding &#8211; and it&#8217;s showing"},"content":{"rendered":"<p>The new <a href=\"https:\/\/www.commonwealthfund.org\/publications\/fund-reports\/2021\/aug\/mirror-mirror-2021-reflecting-poorly\" target=\"_blank\" rel=\"noopener noreferrer\">Commonwealth Fund report<\/a> in comparative healthcare in 11 developed countries makes for sober reading. In the last two surveys the UK came top. It does not anymore. It now ranks fourth:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-58468\" src=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.08-550x200.png\" alt=\"\" width=\"550\" height=\"200\" srcset=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.08-550x200.png 550w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.08-768x279.png 768w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.08-1536x558.png 1536w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.08-2048x744.png 2048w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.08-600x218.png 600w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>What is more m the gap between the U.K. and best performing counties is not small.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-58467\" src=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.23-550x406.png\" alt=\"\" width=\"550\" height=\"406\" srcset=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.23-550x406.png 550w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.23-407x300.png 407w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.23-768x567.png 768w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.23-1536x1134.png 1536w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.23-2048x1511.png 2048w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.47.23-542x400.png 542w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>Note, however, how bad the US performance is. The preferred alternative of the U.K. right wing is dire in almost every way.<\/p>\n<p>What is significant is the ranking compared to spending:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-58466\" src=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.00-550x424.png\" alt=\"\" width=\"550\" height=\"424\" srcset=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.00-550x424.png 550w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.00-389x300.png 389w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.00-768x593.png 768w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.00-1536x1186.png 1536w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.00-2048x1581.png 2048w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.00-518x400.png 518w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>The NHS has little spent on it, but delivers above average performance for that, still. This is highlighted in this chart:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-58465\" src=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.14-550x418.png\" alt=\"\" width=\"550\" height=\"418\" srcset=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.14-550x418.png 550w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.14-395x300.png 395w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.14-768x583.png 768w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.14-1536x1167.png 1536w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.14-2048x1556.png 2048w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.14-527x400.png 527w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>But the simple fact is that although matters have improved we still have too many avoidable deaths in the U.K., which has only got worse during Covid. We\u2019re not as bad as the USA, but that is nothing to shout about.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-58464\" src=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.53-550x390.png\" alt=\"\" width=\"550\" height=\"390\" srcset=\"https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.53-550x390.png 550w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.53-423x300.png 423w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.53-768x544.png 768w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.53-1536x1088.png 1536w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.53-2048x1451.png 2048w, https:\/\/www.taxresearch.org.uk\/Blog\/wp-content\/uploads\/2021\/08\/Screenshot-2021-08-05-at-07.48.53-565x400.png 565w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<p>So what to conclude? First, the NHS remains good at very many levels.<\/p>\n<p>Second, it is not as good as it was. A decade of underfunding is now showing.<\/p>\n<p>Third, we are paying a price in health care outcomes for not spending enough on healthcare. The absence of slack in our system; the absence of a culture of caring in government and the failure to act in preventative healthcare, so apparent during the Covid crisis, all impose a considerable cost on the U.K.<\/p>\n<p>And, quietly unspoken behind all this is the fact that the U.K. has pockets of dense poverty and pervasive inequality throughout the country which in reality denies access to healthcare. That may be because people cannot afford time off to attend a surgery. But it also impacts through many aspects of lifestyle, including diet as well as decent housing. Fuel poverty is another issue: people do not die of flu in the U.K. any more than they do elsewhere, which is almost not at all. They die from pneumonia, most \u00a0of it linked to poorly heated houses. This is the scandal behind this data.<\/p>\n<p>Covid has revealed the underfunding of the NHS, as well \u00a0as government refusal to do anything about it. \u00a0 But the bigger issue is that we tolerate poverty in the U.K. in a wholly unacceptable way, condemning many to poor health and early death. Government indifference to that is now beginning to show in the data. The Labour investment in the NHS has worn off. What is \u00a0left is a sorry shadow of what we need.<\/p>\n<p>It would be really good to have new commitments to the NHS, and the commitment to fund them. Investment in health care by government is known to have a rate of return well in excess of the sums spent. Why won\u2019t this government spend in the NHS \u00a0in that case?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The new Commonwealth Fund report in comparative healthcare in 11 developed countries makes for sober reading. In the last two surveys the UK came top.<br \/><a class=\"moretag\" href=\"https:\/\/www.taxresearch.org.uk\/Blog\/2021\/08\/05\/the-nhs-is-suffering-from-underfunding-and-its-showing\/\"><em> Read the full article&#8230;<\/em><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35,128,106],"tags":[],"class_list":["post-58463","post","type-post","status-publish","format-standard","hentry","category-economics","category-nhs","category-politics"],"_links":{"self":[{"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/posts\/58463","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/comments?post=58463"}],"version-history":[{"count":0,"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/posts\/58463\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/media?parent=58463"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/categories?post=58463"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.taxresearch.org.uk\/Blog\/wp-json\/wp\/v2\/tags?post=58463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}