NHS in Wales faces £3.6 billion funding gap

First published in News

DOING more with less in the National Health Service cannot continue, the director of the Welsh NHS Confederation warned, following a stark report saying there could be a funding gap of up to £3.6 billion in Wales by 2025.

The independent report “A decade of austerity in Wales?”, commissioned by Welsh Government and published this week by the Nuffield Trust, lists an ageing population, rising hospital admissions for people with chronic disease, and increases in the cost of providing health care as pressures on Wales’ NHS which are set to grow.

Funding for the NHS in Wales increased in real terms each year between 1992/93 and 2010/11 by an average of 4.7 per cent a year, but this trend has since stopped.

Instead, funding fell by an average of 2.5 per cent a year in real terms between 2010/11 and 2012/13.

The Trust predicts funding is likely to continue to fall until 2015/16, when the total budget for the Welsh NHS is projected to be 3.6 per cent lower in real terms than it was in 2010/11.

Using trends, the Trust has predicted there will be a funding gap of £2.5 billion for the NHS in Wales by 2025/26, which would need further cuts worth 3.7 per cent a year in real terms after next year.

If the funding available for Wales’ NHS beyond 2015/16 rises at the same rate as is projected for the UK, the funding gap could be cut to £1.1 billion.

If not, that gap could be as large as £3.6 billion in real terms, the report stated.

The funding available for Welsh NHS is determined by the Welsh Government in their budget setting process.

The director of the Welsh NHS Confederation, Helen Birtwhistle, said the report clearly shows the NHS in Wales cannot continue to do things the way it does now.

“The NHS is still expected to do ‘more for less’,” she said. “That is not achievable and cannot continue.

“This is why health boards and trusts in Wales have been working hard to plan changes to the way services are delivered, rather than wait for this funding shortfall to happen.”

Health minister Mark Drakeford said these are the same challenges every healthcare system in the world faces in this age of austerity and insisted that despite “huge cuts...forced on Wales by Westminster” the NHS in Wales “continues to be affordable”.

He also said further cuts could still be made.

“In the immediate future as a result of...the huge effort of the NHS in Wales, the £1.2 billion gap the Nuffield report identifies can be reduced to £221 million by 2015/16,” he said, adding that he and finance minister Jane Hutt would work together over the summer to respond to the report.

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3:31pm Thu 19 Jun 14

Bobevans says...

Quote "In the immediate future as a result of...the huge effort of the NHS in Wales, the £1.2 billion gap the Nuffield report identifies can be reduced to £221 million by 2015/16,” he said, adding that he and finance minister Jane Hutt would work together over the summer to respond to the report. "

Quite how is not explained. The last report showed the Welsh Health Boards were still overspending and that without the carried forward debt

I can see nothing to show that the Welsh NHS will even contain its spending let alone reduce it,
Quote "In the immediate future as a result of...the huge effort of the NHS in Wales, the £1.2 billion gap the Nuffield report identifies can be reduced to £221 million by 2015/16,” he said, adding that he and finance minister Jane Hutt would work together over the summer to respond to the report. " Quite how is not explained. The last report showed the Welsh Health Boards were still overspending and that without the carried forward debt I can see nothing to show that the Welsh NHS will even contain its spending let alone reduce it, Bobevans
  • Score: 1

5:58pm Thu 19 Jun 14

Dave on his Soapbox says...

.......with more people living longer.....increased numbers of obese people needing medical intervention.....the demands can only continue to rise....and lets not have the same response for NHS England in continued 'efficiency saving'...or cuts in anyone else's language.......

While there may be targets that ensure being seen within a given period.....once they've hit that target......getting to see them again is where the efficiency is being made....

I had a consultation in January after surgery and had medication for an eye condition...and was told I be seen in 3 months time for reassessment....desp
ite emails and messages left on their booking department.....nearl
y 6 months on and I'm still waiting....

And my wife has been waiting 2 years since her last consultation over knee replacements.....

There is only one way to fund all the things people want provided...good hospitals and schools etc....cost...and the only way to pay for it is to raise general taxation......but this is something that will never happen...as no one will vote in a party who want to put up taxes......
But as everyone should know...there's no such thing as a free meal.....someone has to pay if they want a good service.
.......with more people living longer.....increased numbers of obese people needing medical intervention.....the demands can only continue to rise....and lets not have the same response for NHS England in continued 'efficiency saving'...or cuts in anyone else's language....... While there may be targets that ensure being seen within a given period.....once they've hit that target......getting to see them again is where the efficiency is being made.... I had a consultation in January after surgery and had medication for an eye condition...and was told I be seen in 3 months time for reassessment....desp ite emails and messages left on their booking department.....nearl y 6 months on and I'm still waiting.... And my wife has been waiting 2 years since her last consultation over knee replacements..... There is only one way to fund all the things people want provided...good hospitals and schools etc....cost...and the only way to pay for it is to raise general taxation......but this is something that will never happen...as no one will vote in a party who want to put up taxes...... But as everyone should know...there's no such thing as a free meal.....someone has to pay if they want a good service. Dave on his Soapbox
  • Score: 2

8:24pm Thu 19 Jun 14

Katie Re-Registered says...

Britain is the sixth wealthiest country in the world. There's obviously enough money to go round, isn't there? It's just that the wealth produced here by the brains and brawn of the British worker is not circulated within Britain, but is hoarded by a minority of one per cent of the population in off-shore tax havens. Nevertheless, no mainstream politician is going to be brave enough to stand up to corporate vested interest (not least because these happen to be the same handful of robber barons who control the media and are possibly privy to secrets on certain MPs that the exposure of which they can potentially blackmail them with). Therefore, our leaders just stick to what is safest; scapegoating young kids who cannot get a job by blaming them for the broken state the economy is in.
Britain is the sixth wealthiest country in the world. There's obviously enough money to go round, isn't there? It's just that the wealth produced here by the brains and brawn of the British worker is not circulated within Britain, but is hoarded by a minority of one per cent of the population in off-shore tax havens. Nevertheless, no mainstream politician is going to be brave enough to stand up to corporate vested interest (not least because these happen to be the same handful of robber barons who control the media and are possibly privy to secrets on certain MPs that the exposure of which they can potentially blackmail them with). Therefore, our leaders just stick to what is safest; scapegoating young kids who cannot get a job by blaming them for the broken state the economy is in. Katie Re-Registered
  • Score: 0

8:51pm Thu 19 Jun 14

Bobevans says...

Katie Re-Registered wrote:
Britain is the sixth wealthiest country in the world. There's obviously enough money to go round, isn't there? It's just that the wealth produced here by the brains and brawn of the British worker is not circulated within Britain, but is hoarded by a minority of one per cent of the population in off-shore tax havens. Nevertheless, no mainstream politician is going to be brave enough to stand up to corporate vested interest (not least because these happen to be the same handful of robber barons who control the media and are possibly privy to secrets on certain MPs that the exposure of which they can potentially blackmail them with). Therefore, our leaders just stick to what is safest; scapegoating young kids who cannot get a job by blaming them for the broken state the economy is in.
The UK is not rich. We have over £1T debt and are running with a deficit
[quote][p][bold]Katie Re-Registered[/bold] wrote: Britain is the sixth wealthiest country in the world. There's obviously enough money to go round, isn't there? It's just that the wealth produced here by the brains and brawn of the British worker is not circulated within Britain, but is hoarded by a minority of one per cent of the population in off-shore tax havens. Nevertheless, no mainstream politician is going to be brave enough to stand up to corporate vested interest (not least because these happen to be the same handful of robber barons who control the media and are possibly privy to secrets on certain MPs that the exposure of which they can potentially blackmail them with). Therefore, our leaders just stick to what is safest; scapegoating young kids who cannot get a job by blaming them for the broken state the economy is in.[/p][/quote]The UK is not rich. We have over £1T debt and are running with a deficit Bobevans
  • Score: 1

9:31pm Thu 19 Jun 14

gingertom says...

Mark drakeford needs to stop trotting out the same excuses he needs to stop any work with Cardiff university and concentrate on his health minister role. C-diff is rife in the gwent but it is hushed up. Over the last decade at least not one health minister or CEO from martin turner, andrew cottom and andrew goodall has ever brought that hospital into 21st century. Whilst consultants make millions off forcing people to go private NHS waiting lists will never go down. Yet despite this andrew goodall gets promoted by mark drakeford.
Mark drakeford needs to stop trotting out the same excuses he needs to stop any work with Cardiff university and concentrate on his health minister role. C-diff is rife in the gwent but it is hushed up. Over the last decade at least not one health minister or CEO from martin turner, andrew cottom and andrew goodall has ever brought that hospital into 21st century. Whilst consultants make millions off forcing people to go private NHS waiting lists will never go down. Yet despite this andrew goodall gets promoted by mark drakeford. gingertom
  • Score: 0

9:37pm Thu 19 Jun 14

gingertom says...

The welsh audit has a survey on hospital waiting lists:
http://www.nhswaitin
g.wao.gov.uk/

There is a petition calling for an enquiry on NHS:

https://www.assembly
wales.org/epetition-
list-of-signatories.
htm?pet_id=1019

Please fill in and pass them on.
The welsh audit has a survey on hospital waiting lists: http://www.nhswaitin g.wao.gov.uk/ There is a petition calling for an enquiry on NHS: https://www.assembly wales.org/epetition- list-of-signatories. htm?pet_id=1019 Please fill in and pass them on. gingertom
  • Score: 0

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