If the NHS wants to transform care and keep patients healthy and out of hospital it will need to invest more in community and public health services.
The findings suggest that community and public health services have been hit hardest, while acute and specialist services have so far been relatively protected. This adds to the challenge in identifying instances of dilution.
This creates a fundamental challenge to the vision set out in the NHS five year forward view, which focuses on strengthening community-based services and prevention. The research used data analysis and interviews to explore different experiences across the system. First, across the country patient care varies for many reasons beyond the size of the local NHS budget: Ruth Robertson The NHS is experiencing increasing financial pressure, but what does this mean for patients?
Now, we have examined in more detail what each of these ways of restricting care means for the NHS and how individuals can see the impact in their own local health system.
This means that more people are receiving treatment, but their treatment involves fewer appointments or contacts with the service.
The findings create a challenge to the direction of travel set out in the NHS five year forward view of strengthening community-based services and focusing on prevention. Although the impact of financial pressures can be difficult to identify, it can and does affect patient care.
Mental health patients in some areas appear to have seen a dilution in the quality of care provided by the NHS as a result of increased demand for services and changes to the skill mix of mental health teams.
High levels of occupancy are also a longstanding challenge in some units, which can lead to babies being transferred a long way from home, increasing strain on families. This has resulted in fewer clinics and reductions in staff in some areas, while there have also been cuts to prevention and outreach services.
Second, when budgets are cut or more likely do not grow in line with patient demand, some providers go into deficit.
As a result, staff are being increasingly stretched, often leading to high levels of stress for them and a lower quality of care for some patients.
Unlike health services in some other countriesthe NHS does not specify a list of treatments that it will provide. This study sought to investigate the impact of financial pressures in four very different areas of the health service: However, we know relatively little about their impact on patient care.
There is no clear evidence that recent financial pressures have had a significant impact on patient care. In their paper, Thinking about rationingRudolf Klein and Jo Maybin described six ways in which this can happen: The authors looked in detail at four services — testing and treatment for sexually transmitted infections, district nursing, elective hip replacement and neonatal care — to explore the impact of financial pressures on patient care.
By overspending, providers may be protecting patients from the worst effects of funding pressures, meaning data on financial performance does not tell us anything about the impact on patients.
In both of these examples, the line between an effective productivity improvement and a service change that reduces quality is blurred. There is extensive evidence of overtreatment in health services, so when referral rates go down or access to services changes, we should not always view this negatively.
While the number of people using mental health services in England is rising by 5. Our research shows that services like district nursing and sexual health, where we found evidence that access and quality are deteriorating for some patients, have been hardest hit by the financial pressures facing the NHS but that this is often going unseen.
The report warns this could put patients and the general population at greater risk of infection. There are many examples of innovations that both improve the quality of patient care and cut costs, delivering better value.
Finally, tightening budgets can motivate providers to improve productivity. Three-quarters of the community and district nurses surveyed by the Royal College of Nursing in said that necessary activities were left undone because of a lack of time. However, equally important and much more difficult to identify are examples of dilution, where patients still receive care, but that care is of lower quality.
It may mean better outcomes for patients, for example, if a treatment is ineffective or the risks of receiving it outweigh the benefits. We hope to get closer to answering the difficult but crucial question of what the financial pressures in the NHS mean for patients.
Find out more about the longer-term projectan in-depth piece of research examining what the financial issues facing the health service mean for patients.Financial Pressures Affecting Heath Care Essay - Financial Pressures Affecting Heath Care In the recent years Health-Care Services have been under tremendous financial pressures.
This has brought about much inefficiency for. care (both access and quality), all contribute significantly to how long and how well we live. However, none of these factors is as important to population health as are the social and economic environments in which Social Determinants of Health: How Social and Economic Factors Affect Health 5.
If long discussions about the financial side of healthcare make your eyes glaze over, don't worry. This article will not repeat the text of the recently passed healthcare law, the Patient. The financial pressures facing the NHS are continuing to affect patient care, according to a new report by The King’s Fund.
Editor Alec Peachey attended the launch of ‘Understanding NHS financial pressures’ and reports on its key findings. Financial Environment of Health Care Organizations viability of a health care organization. FINANCIAL VIABILITY An HCO is a basic provider of health services, but it Figure 3–1 Financial Environment of Health Care Organizations _CH03__ 10/11/06 PM Page Financial Stress and Your Health Financial stress can have major effects on your health.
Stress, in general, can cause heart attacks, strokes, and many other serious health issues regardless of the source.Download