More than seven in ten of Britons now agree that their beloved National Health Service is “broken”. Politicians are increasingly willing to talk about the problems. But there is less consensus about what should be done to fix things
is also in grave difficulties. The fever dream of winter is receding somewhat, but few will forget how many patients died waiting for ambulances and lying in hospital corridors. Hospital waiting lists exceed 7m; efforts to curb them have been stymied by the largest wave of strikes in the service’s history. One in 11 posts in theThese problems cannot just be pinned on the aftermath of the covid-19 pandemic.
Nurses, junior doctors and others who have suffered a decade of real-terms pay cuts have taken to the picket lines. The underfunding has been most apparent in general practice, the first point of contact for most patients and the most cost-effective part of the system. “General practitioners are paid £160 per year per patient: that is less than it costs to insure a gerbil,” points out James Morrow, aBut spending more money cannot be the only answer.
Yet meta-analyses suggest that there is no relationship between a country’s choice of funding system and its health outcomes. And all health systems have their own challenges. In the Netherlandss spend almost three times as much of their time on admin as their British counterparts, who already feel they are drowning in paperwork.
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