National and Local Factors Creating Financial Pressures on the NHS

This report critically discusses the national and local factors contributing to financial pressures on the National Health Service (NHS), with a specific focus on the South East of England. It highlights the financial constraints faced by the NHS, including budget deficits and limited spending growth compared to previous years. The report examines national factors such as administrative costs, modifications in services, and funding challenges, as well as local factors like funding decisions and the denial of treatments. It also explores government funding schemes, deflation, and the potential for anxiety among patients due to treatment transfers. The analysis references various sources to support its arguments and concludes by emphasizing the need for sufficient funding and systematic plans to ensure effective healthcare services. The report underscores the impact of these pressures on patient care and the overall efficiency of the healthcare system.

Critically discuss of national and local factors
that create financial pressures on NHS

Table of Contents
TASK ..............................................................................................................................................1
REFERENCES................................................................................................................................4

TASK
Critically discuss national and local factors that create financial pressures on the NHS which is
mainly emphasised on South East of England
The National Health Services are growing under the financial force in between the year
2010 to 2014, the health spending are maximised by 1.2 percent and this rate will continue to be
similar till the time there is no effective parliament formulated. This is far away from the annual
growth rates which was approximately 3.9 percent in the preceding years of 2010 thus they are
not able to cover the demands from the economy. The most important pressure on NHS is related
with budget factor as they are mainly struggling in order to reach at a deficit of £2.6 billion. Thus
it is very difficult to analyse the implication of financial pressure on health and care services
offered to patients (Fulop, Walters and Spurgeon, 2012).
National Factors
The (NHS England) administrative are having lower cost of operations then making
comparison with other countries. The national data of NHS composed of acute services related to
care and with little informations about the community based employment. While attention is
mainly paid towards explicating the restriction towards patients who are having access to health
care services. The patients should not be waited for longer time for getting treatment who are
suffering from diseases such as Vitro Fertilisation.
Modification in Services
There should be changes implemented in the services which are offered to customers at
national level as they are important in order to provide effective care services to their patients.
According to the data there was least money spend on administrative services in NHS while
compared to France and Germany. The private sector is mainly focused towards providing front
line health care services to all their potential customers and this will result in enhancing their
overall values.
Administration
At the similar phase the back office and administrative section plays an important role in
keeping the services of NHS going through. The HR and payroll facilities are executed through
the sourcing of different medical supplies and also making the GP practices carried out and the
facilities in the hospital industry should be stocked (Lawrence, 2017).
Funding
1

The lack of funds available with NHS England is not the only challenge which is faced
by the health care. There are different factors which are affecting the quality and availability of
quality patients and the implications of all the factors will be intensified as the major challenge
of financial industry. There are different ways by which financial pressure can have positive
impacts by analysing the financial situation, Spending on the decisions of the health care,
generating response and providing effective services to health care patients. The funds can be
generated on reserves and also the cross subsidies which are available. This is an important
factor in order to provide effective care services to patients (Taylor and et. al., 2015).
Local Factors
At the local level the financial pressure are also developed when the patients not not
receiving effective treatment for the disease from which they are suffering because health
commissioner at the local level are not providing them funds because they feel it is not
appropriate. The decisions are mainly based on the evidences as they are cost effective or
clinical. The denial factor can also be a good thing for the health care patients if they are not
given effective treatment on the other hand it can be a bad factor if the care services are not
effective. Denial is closely related with selection but the selection is based on the skill and
characteristic of person who is being treated and the denial is based on the quality of treatment
which is given to the health care patients. The example of denial is linked with the factors of
selection as they are very less factors which are denied in almost all the circumstances (Poverty,
2014).
Government Funding Schemes
The National Health services of England like any government fund care system had a
very limited budget so they cannot be paid for the potential treatment which are offered to the
care patients. While some countries are having clear list of benefits which can be availed by
people but there are no guaranteed given to these services. People can avail the rights which are
stated in the Constitution of NHS which is composed of the rights to receive all the services
related to health care free of nay cost, certain services will be offered without wastage of any
time, safe and clean business environment and the treatment of drugs recommend by the doctors
of NHS if it is appropriate.
NHS is influenced by both the local and the national decisions but the appropriate
services should be provided to patients according to the disease from which they are suffering.
2

Apart from the legal requirements of funds all the treatments are provided to patients so they can
be easily cured from the disease which they are suffering (Zheng and Congdon, 2012). This
implies that treatments which are given to patients are entitles by the national framework and
legal treatment.
Deflation
Deflation is also a vital factor which impacts on the health care patients as sometimes the
institutions are refusing to provide treatment to the patients and instead of them they are sending
them to some other in order to get treatment from the disease which they are suffering. There are
two different ways by which financial pressure can be deflected which is local authority may
deny from giving treatment and they can transfer them to other institutions another is related
with executing GP practices to the hospitality sector.
Anxiety
For the health care patients there can be a situation of anxiety or uncertainty as the
patients are transferred from one place to another in order to get their treatment. The outcome of
this can be related with delay in health care services and there can be frustration among the care
workers as they had to repeat the same thing again and again (Brown and Osborne, 2012).
Thus it can be concluded that there should be sufficient funds available with NHS by
which they can provide treatment to the patients and also there should be systematic plans
developed by which effective services can be offered to patients.
3

REFERENCES
Books & Journals
Fulop, N., Walters, R. and Spurgeon, P., 2012. Implementing changes to hospital services:
Factors influencing the process and ‘results’ of reconfiguration. Health policy. 104(2).
pp.128-135.
Poverty, C., 2014. State of the nation 2014: social mobility and child poverty in Great
Britain. London: HM Government.
Zheng, Y., He, M. and Congdon, N., 2012. The worldwide epidemic of diabetic
retinopathy. Indian journal of ophthalmology. 60(5). p.428.
National Planning Commission, 2013. National development plan vision 2030.
Brown, K. and Osborne, S.P., 2012. Managing change and innovation in public service
organizations. Routledge.
Taylor, J., and et. al., 2015. Examining the use of telehealth in community nursing: identifying
the factors affecting frontline staff acceptance and telehealth adoption. Journal of
advanced nursing. 71(2). pp.326-337.
Lawrence, M., 2017. Future proof: Britain in the 2020s. Juncture, 23(4), pp.275-286.
Billings, J. and De Weger, E., 2015. Contracting for integrated health and social care: a critical
review of four models. Journal of Integrated Care. 23(3). pp.153-175.
Stevens, P.E., and et. al., 2012. Engaging primary care in CKD initiatives: the UK
experience. Nephrology Dialysis Transplantation. 27(suppl_3), pp.iii5-iii11.
4