Pay caps on nurses in the UK

I’m finishing my time in the UK today and head back home tomorrow.  The British Society for Rheumatology 2017 conference was interesting, on the news the key headlines were pay for National Health Service employees, nurses in particular. Due to budget shortfalls, the NHS froze nurse pay between 2010 and 2012.  Beginning in 2012, pay raises resumed…

Access to cancer care in the UK

Being sick in the United Kingdom has advantages and disadvantages.  Supporters will cite that out-of-pocket costs are generally low, coverage is universal, and the price of health care to the government is lower. One question is, what is the quality of care received?  Critics cite that access to cutting edge, innovative treatments is often restricted or…

P4P in the UK

General Practitioners (GPs) in the UK NHS are paid a mixture of capitation, lump sum allowances, and a pay-for-performance bonus. The P4P element, the Quality and Outcomes Framework (QOF), rewards GPs according to their performance on a large number of indicators. QOF payments represented up to 20% of GPs ’ income in the first year…

What does a NICE health economist do?

What role do health economists at the UK’s National Institute for Health and Clinical Excellence (NICE) play and how do they conduct their cost effectiveness analyses for new treatments? I answer this question today based on NICE’s own documents.  According to their guidelines manual, the role of the health economist in clinical guideline development is to:…

Healthcare Outsourcing in the UK

Many liberals laud Europe’s government-run health care sectors as a model to emulate.  In particular, Great Britain’s National Health Service (NHS) often is seen as the ideal single payer system.  In reality, however, the British government itself does not supply all services. A study from the Public Services International Research Unit (PSIRU) describes the gradual…

Why operations in Great Britain are being cancelled

On Wednesday, many of the NHS workers went on strike.  Seven thousand of the day’s 30,000 operations were cancelled. Why are workers striking?  One reason is pensions.  According to a new government plan, workers would be required to increase their pension contributions 3.2 percentage points without seeing an increase in the value of their pensions.  Additionally,…

Health Reform in the UK

Health Reform in the U.S. means more government involvement in health care.  More public insurance (expanding Medicaid), more government intervention in the insurance market (health exchanges), and government being a driving force for innovation (the Center for Medicare and Medicaid Innovation). In the UK on the other hand, “Health Reform” means more privatization, not less.  As…