________________________________
From: Sven-Eric Bergman [mailto:[log in to unmask]]
Sent: Thu 4/6/2006 2:57 PM
To: Oliver,AJ
Subject: SV: BBC Panorama programme: Note from John Appleby
Hello everyone,
Just a brief piece of information on financial situation of Swedish health
care/hospital.
County Councils (regional elected bodies with the right to levy taxation)
are main financers of the health services. They are also running most
hospitals, health centres etc. Looking at the total county council sector
2005 was the first year since 1993 with a surplus. The surplus was 2,4 % of
the net costs. The development is a result of higher tax income; higher
state allowances; and better cost control as well as measures to improve
services and efficiency. The higher tax income is in turn a result of
higher tax rate as well as higher income, the Swedish economy going quite
well for the moment.
Looking at the development from another point of view it may be perhaps less
reassuring. The net costs increased with 3.6 % between 2004 and 2005, which
probably is a higher figure than could be sustained in the long run.
As for the hospitals there is no comprehensive picture of the around 90
somatic care units (of which around 60 have full emergency services). As for
the bigger hospitals (teaching hospitals) they had big deficits around 2003,
but most of them are now showing a surplus.
If anyone should be interested I am prepared to give more details.
Sven-Eric Bergman
[log in to unmask]
-----Ursprungligt meddelande-----
Från: the european health care systems discussion group
[mailto:[log in to unmask]] För Adam Oliver
Skickat: den 6 april 2006 06:21
Till: [log in to unmask]
Ämne: Re: BBC Panorama programme: Note from John Appleby
Hi John
I don't know the hospital financial situation in other European countries.
Maybe others on the EHPG list could help you. When I lived in Japan, a great
many hospitals were in deficit (I even wrote a paper on this back then), but
I don't know how things stand there now. From a very general feel of what
people are saying, it seems that the concern in England is being provoked by
the fact that the deficits have arisen during a period of massive increases
in NHS expenditure, which is probably a pretty unusual conjunction of
circumstances.
Best,
Adam
________________________________
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: Wed 4/5/2006 11:07 AM
To: [log in to unmask]; Oliver,AJ
Cc: [log in to unmask]
Subject: Re: BBC Panorama programme: Note from John Appleby
John, Adam
Are there deficits like this in other countries too (at any level)?
John
Adam Oliver
<[log in to unmask] To: [log in to unmask]
AC.UK> cc:
Sent by: the bcc:
european health Subject: BBC Panorama
programme: Note from John Appleby
care systems
discussion group
<[log in to unmask]
C.UK>
03/04/2006 16:25
Please respond
to A.J.Oliver
Adam
Along with Alan Maynard I was another contributor to the Panorama
programme about NHS deficits. Like Alan and you, I too think the NHS is
basically a good system. That said, it can't be right that we censor any
criticism (although the programme and comments in it were not critical
of the system - just some of the players and their actions/policies)
because we might undermine the NHS fundamentally.
However, take a look at the front page of the Guardian today - 900
'Doctors for Reform' (who they?) call for changes in the funding system
in the wake of the NHS's overspending.....but there will always be those
who will exploit events to promote their own interests/agenda.
John
John Appleby
Chief Economist
King's Fund
11-13 Cavendish Square
London W1G 0AN
Visiting Professor, City University
T: 0207 307 2540
M: 07831 638774
F: 0207 307 2807
-----Original Message-----
From: the european health care systems discussion group
[mailto:[log in to unmask]] On Behalf Of Adam Oliver
Sent: 01 April 2006 03:58
To: [log in to unmask]
Subject: BBC Panorama on NHS financial position
A colleague, James Mountford, forwarded the following link to a recent
Panorama programme on the NHS to me, which some of you may find
interesting. I just hope that the combination of the English
Government's highly contestable health care policies and the responses
of those who contest these policies (which I guess includes me - you
see, I live by the anti-hypocritcal oath), does not serve to undermine
the NHS fundamentally. After all, it's basic organization is, I think,
the best in the world.
http://news.bbc.co.uk/1/programmes/panorama/default.stm#
<http://news.bbc.co.uk/1/programmes/panorama/default.stm>
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