John Appleby: future health and social care spending pressures

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John Appleby takes a closer look at how spending on the provision of health and social care in England may change in the next 50 years.

Health & Medicine

Future health and social care
spending pressures

John Appleby
Chief Economist, The King’s Fund

What is driving increased spending?

Demographic factors and health status

What is driving increased spending?

Demographic factors and health status
Income

What is driving increased spending?

Demographic factors and health status
Income
Consumer/patient behaviours

What is driving increased spending?

Demographic factors and health status
Income
Consumer/patient behaviours
Treatment practices

What is driving increased spending?

Demographic factors and health status
Income
Consumer/patient behaviours
Treatment practices
Technological progress

Key questions

Will people be willing to pay the same or indeed
increasing levels of taxes?

Key questions

Will people be willing to pay the same or indeed
increasing levels of taxes?
Will the government be willing and able to increase
borrowing?

‘What outcomes will be possible for our future health?
What resources will be needed to achieve them, in
health care and elsewhere? How can we minimise the
cost and how do we decide how much is justified?
How do we create the flexibility to react when
inevitably circumstances change? Is there a
willingness and an ability, individually or collectively,
to pay the cost?’

Sir Derek Wanless

Wanless D, Appleby J, Harrison A, Patel D (2007). Our future health secured?: A review of
NHS funding and performance, London: The King’s Fund.

Find out more: www.kingsfund.org.uk/think

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