Health
Nhs Productivity
Upfront
+£3.0bn
Annual
-£12.0bn
Revenue
+£4.0bn
Net Annual Effect
-£8.0bn/year
Payback in 2 years
GDP +0.8%Productivity +0.2%high uncertainty
3 sources
← Back to Domains
Health
NHS & Health
Waiting List
6.24 million
Productivity
-17% since 2018
Outcomes Rank
Last of 10 peers
38%Current
Potential: 72%
✗Key Problems
- 1.6.24M waiting list - still 2.5x pre-COVID levels
- 2.Productivity DOWN 17% since 2018 - more staff, worse outcomes
- 3.Last of 10 peer countries on cancer survival, strokes
- 4.£185bn/yr spent - double 2010 - for WORSE results
✓Solutions
- 1.PATIENT CHOICE VOUCHER: 13-week wait = £500 for private treatment (Sweden model)
- 2.ANY QUALIFIED PROVIDER: Patient choice drives quality (Netherlands model)
- 3.STREAMLINE NHS ENGLAND: Reduce £2bn admin overhead (McKinsey review)
- 4.PERFORMANCE ACCOUNTABILITY: Transparent metrics, managed exit for underperformers
Analysis
Root Causes
1
6.24M waiting list - still 2.5x pre-COVID levels
2
Productivity DOWN 17% since 2018 - more staff, worse outcomes
3
Last of 10 peer countries on cancer survival, strokes
4
£185bn/yr spent - double 2010 - for WORSE results
Reform Pathway
1
PATIENT CHOICE VOUCHER: 13-week wait = £500 for private treatment (Sweden model)
2
ANY QUALIFIED PROVIDER: Patient choice drives quality (Netherlands model)
3
STREAMLINE NHS ENGLAND: Reduce £2bn admin overhead (McKinsey review)
4
PERFORMANCE ACCOUNTABILITY: Transparent metrics, managed exit for underperformers
Cascade Effects
Reforms in NHS & Health will have downstream effects on 3 connected domains:
Policy Costings
Rigorous fiscal analysis of NHS & Health reforms
