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Developments in UK Health Accounts

Developments in UK Health Accounts. Gavin Wallis Health Accounts Team Office for National Statistics. OECD Meeting of Experts in National Health Accounts 27-28 October 2003. Outline. Introduction Total UK Health Expenditure UK Health Accounts Results Next Steps Conclusions

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Developments in UK Health Accounts

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  1. Developments in UK Health Accounts Gavin Wallis Health Accounts Team Office for National Statistics OECD Meeting of Experts in National Health Accounts 27-28 October 2003

  2. Outline • Introduction • Total UK Health Expenditure • UK Health Accounts • Results • Next Steps • Conclusions • Questions / Discussion

  3. Introduction to UK Health Accounts • Stimulating debate • Previous releases • Next releases • Project Board • Key users identified

  4. Total UK Health Expenditure sources • Use of National Accounts • Major deviations dealt with: • (i) Nursing Care not funded by NHS • (ii) Research and Development • (iii) education and training • Charities, religious organisations, prisons, armed forces

  5. Total UK Health Expenditure issues • Private finance most problematic • Conformity with SHA: • (i) Household production of health care services • (ii) Occupational health care • Further deviations: using National Accounts

  6. UK Health Accounts sources • Health administrations • (i) Main source activity costs • (ii) Budgetary information • (iii) Double counting? • Household expenditure based on National Accounts • Nursing care • Public / private split

  7. UK Health Accounts issues • Reasonable first estimate • Some "top-down" methods • Exclusion of Household production & Occupational health care • NPISH, prisons, armed forces not fully cross-classified • Financial year basis • No time series • Health related functions?

  8. Results: UK Health Accounts 1999/2000

  9. Total current expenditure on health by function, UK, 1999/2000 HC.1-2. Cure/rehabilitation HC.3. LT nursing HC.4. Ancillary services HC.5. Goods (and related services) to outpatients HC.6. Prevention & public HC.7. Administration

  10. Total current expenditure on health by provider, UK, 1999/2000 HP.1 Hospitals HP.2 Nursing facilities HP.3 Ambulatory facilities HP.4 Retailers of goods HP.5 Providers of public health HP.6 Administration HP.9 Rest of the world (imports)

  11. Next Steps • Household production of health services • Further investigation into sources and methods • Primary data sources (“bottom-up”) • Function and provider for NPISH, prisons, armed forces? • Calendar year basis • Time series

  12. Conclusions • Reasonable first estimate • Some documented deviations from SHA • Improvements in pipeline • Growing user demand • Publication on 16 December 2003

  13. Questions / Discussion

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