The British Healthcare System


TheBritish Healthcare System

TheBritish Healthcare System

Financingthe Health care system in the UK

Healthcaresystem in the United Kingdom is not an entirely integrated programconsidering the various existing differences in the various regionsthat make up the Great Britain. As a result of devolved services,each of these regions has its elaborate system of healthcare servicesthat are funded publicly (Mossialos et al, 2015). It is howeveruniform that all these regions provide free healthcare services totheir original and permanent residents paid for from the publictaxation. As a matter of policy, each of these countries has anentirely private programme that is funded with a smaller amount ofthe public taxes though it is conspicuously small compared to theamount given to the public sector (Mossialos et al, 2015). Thiselaborate programme is funded with public money but from varioussectors, of which include about 84 percent of the total budget ofNational Health Service is funded from the 9.3 percent of the GDP inthe year 2012 (Mossialos et al, 2015).

Mostof these funds are made from the public budget, with a smallerportion coming from the national insurance. A certain percentage isalso collected from the income of the private patients who enjoycomprehensive cover in the private healthcare facilities (Mossialoset al, 2015). In private healthcare services providers, the mainsource of the health cover is from insurances, which account for over82 percent of the total expenditure. The private hospitals care isbased on specified selected hospitals that meet the governmentstandards. Single payer healthcare medical scheme was idea wasconceived in England the policy is as long as a person is a residentof England or does a legal immigrant possess a National HealthService number, he or she is illegible to enjoying the entire NHSpackage in its totality (Boyle, 2008).

Thismeans that in the case of whether the medical situation is criticalor not, the patient whether in-patient or out-patient should notincur any extra cost medically as long as he or she has the NHS. Someservices like emergency cases or treatment of contagious diseases arefree of charge even to non-residents of England. According toMossialos et al , (2015) the NHS is virtually divided into two tocater for two entities which include the primary and secondaryhealthcare. Purchaser and provider role are as well the two criticalcommissions under the NHS whose role entail examining andnegotiations to get the best services for the local residents at fairrates from the NHS private and public entities. They are as wellcritical in approving the regional NHS budget allocations.

TheOrganization &amp Delivery

Thesecretary of state for health is mandated with the role offacilitating a smooth programme in the healthcare system in theentire of England (Boyle, 2008). He is supposed to ensure that allsystems are coordinating to facilitate a prioritised response towardsthe needs of the people health wise. The department of health has nopower of the functions of the NHS organizations with the headquartersshifting from there as well. Though NHS England is a state programmeit operates autonomously from the direct control of the government,advising the government on the best healthcare policies (Greener,2002).initially, the primary care trusts used to manage the affair ofthe NHS until 2013 when the clinical commissioning groups took over,including the management of the health professionals management.

Thecommission’s most common services include, planned hospital care,rehabilitation services, emergency services, mental and learningchallenges services and the community health care (Mossialos et al,2015). Its main mandate is to commission any health care facility,both private and public as long as it adheres to the NHS setstandards. They have to be certain of the guidelines set beingreligiously followed as well as consulting with all the stakeholdersbefore commissioning any institution. Every local authority ismandated to establish a well being board to act as a forum for localcommissioners across NHS, to facilitate faster service delivery andresponse and improve the relationship between health and social care(Greener, 2002).

Thegovernment in England is seeking to establish another statutory bodycalled the public Health England to provide expertise and leadershipin conjunction with the NHS to facilitate a better response toemergency cases.NHS contracts several players ranging from communitynursing clinics, mental healthcare facilities in purchasing physicianservices.

Majorityof the NHS services are provided within the primary health caresetting. These include trust bodies like ambulance services andhospitals and or clinics to although they are all funded by the NHScommissions, the hospitals due to the variety and specialisedservices they offer get the lion’s share of the total allocatedfunds (Boyle, 2008). The hospital trusts have their own assetsfinanced by the NHS through the commissions though the hospitals andthe equipments in them are considered as state property. Primary careis delivered by a wide range of independent contractors likedentists, opticians, pharmacists and others. Secondary care is onlyaccessible in elective public and private health facilities or thoseowned by the NHS directly (Roe &amp Liberman, 2007). Patients inneed of treatment can consult on the best clinic or hiospital fortheir specific ailment as per the set regulations of the NHS eitherin public or private facility.

Additionallyif a patient has the NHS number and get treatment in a privatehospital not under the NHS programme, as long as the hospital meetsthe NHS regulations, the payments can still be paid (Roe &ampLiberman, 2007). Private hospitals offer highly subsidised servicesand thus, people opt to seek treatment in the elective NHS hospitals.The major problem in most of the public hospitals is that the waitingtime is very long in as much as the cost is fair. This can onlychange in instances of emergency admissions. According to Boyle,(2008)though the waiting time in emergency cases is immediate, the waitingtime for other ailments is immediately the time is available as longas it does not exceed two weeks. Some trust healthcare systems areintroducing the just in time workflow as it is adopted in bigcompanies to clear the patients backlog and improve efficiency.

Almostall NHS hospitals offer completely free medical services ranging fromconsultation, treatment, surgical, drugs, consumables and otherappliances either issued or given on loan (Roe&amp Liberman, 2007).The exception lies within the private medical facilities. There is ageneral provision however that incase a patient want to make hisprivate arrangement with the hospital and pay privately, the billswill be remitted to his insurance company directly. This may happenif a patient wants to jump the long waiting time list although it isa rare occurrence in public hospitals. Emergency cases are offeredfree of charge with or without the NHS number.


Boyle,S. (2008). The UK health care system. London:LSE Health and Social.

Greener,I. (2002). Understanding NHS Reform: The Policy‐Transfer,Social Learning, and Path‐DependencyPerspectives. Governance,15(2),161-183.

Mossialos,E., Wenzl, M., Osborn, R., &amp Anderson, C. (2015). Internationalprofiles of health care systems, 2014. NewYork, NY: The Commonwealth Fund.

Roe,A. M., &amp Liberman, A. (2007). A comparative analysis of theUnited Kingdom and the United States health care systems. Thehealth Care Manager,26(3),190-212.