What is the right level of spending needed for health and care in the UK?

Charlesworth, Anita; Anderson, Michael; Donaldson, Cam; Johnson, Paul; Knapp, Martin; McGuire, Alistair; McKee, Martin; Mossialos, Elías; Smith, Peter; Street, Andrew; Woods, Michael

doi:10.1016/s0140-6736(21)00230-0

Cited by 21 publications

(24 citation statements)

References 49 publications

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“…They were selected according to their expertise and exposure to pharmaceutical research and policy in the UK over the last two decades. The LSE-Lancet Commission produced a series of working papers that take a similar format to this paper on issues related to workforce [7] , changing health needs [8] , digital health [9] , and financing [10] . The final commission report, recommendations, and complete list of health policy experts is also publicly available [11] .…”

Section: Methodsmentioning

confidence: 99%

Promoting innovation while controlling cost: The UK's approach to health technology assessment

et al. 2022

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Section: Methodsmentioning

confidence: 99%

Promoting innovation while controlling cost: The UK's approach to health technology assessment

et al. 2022

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“…However, the onset of the Covid-19 pandemic in 2020 affected the delivery of and expenditure on health and social care, which will likely have longer-term implications for drivers of demand and expenditure across all services analysed in this report (Keegan et al, 2020). Recent analysis by (Charlesworth et al, 2021) discusses how the Covid-19 pandemic will affect health and social care spending projection in the short and medium term. A pandemic-induced recession may impede sustainable health and social care spending.…”

Section: System Changes During the Covid-19 Pandemicmentioning

confidence: 97%

“…Preparedness for further health shocks may also increase overall healthcare spending. In the short term, spending increases will continue to be needed to allow the NHS to respond to the pandemic and also address the growing waiting lists for healthcare that occurred after elective procedures and diagnostic tests were postponed or cancelled (Charlesworth et al, 2021).…”

Section: System Changes During the Covid-19 Pandemicmentioning

confidence: 99%

“…In addition to the issues listed by Charlesworth et al (2021), additional changes that occurred in Ireland during the Covid-19 pandemic to date may affect health and social care expenditure projections. While many aspects of the acute hospital sector have been affected by the pandemic (Keegan et al, 2020;Walsh et al, 2020), within the non-acute services analysed in this report, there have also been considerable changes.…”

Section: System Changes During the Covid-19 Pandemicmentioning

confidence: 99%

“…Smith et al (2021) used a bottom-up approach to estimate health and 9 https://www.pssru.ac.uk/research/354/ 24| Pro ject ions o f E xp enditure fo r P rima ry, Co mmun ity and Lon g-Term Ca re social care unit costs for Ireland. (Charlesworth et al, 2021) also highlight that bottom-up costing methods provide more robust forecasts on health and social care expenditure.…”

Section: Bottom-up Costingmentioning

confidence: 99%

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Projections of expenditure for primary, community and long-term care Ireland, 2019-2035, based on the Hippocrates model

Walsh¹,

Keegan²,

Brick³

et al. 2021

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21 st century Ireland.The Institute was founded in 1960 by a group of senior civil servants led by Dr T. K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland.Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research.The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices.The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars.The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.

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COVID-19 and EQ-5D-5L health state valuation

et al. 2023

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Background We investigate whether and how general population health state values were influenced by the initial stages of the COVID-19 pandemic. Changes could have important implications, as general population values are used in health resource allocation. Data In Spring 2020, participants in a UK general population survey rated 2 EQ-5D-5L states, 11111 and 55555, as well as dead, using a visual analogue scale (VAS) from 100 = best imaginable health to 0 = worst imaginable health. Participants answered questions about their pandemic experiences, including COVID-19’s effect on their health and quality of life, and their subjective risk/worry about infection. Analysis VAS ratings for 55555 were transformed to the full health = 1, dead = 0 scale. Tobit models were used to analyse VAS responses, as well as multinomial propensity score matching (MNPS) to create samples balanced according to participant characteristics. Results Of 3021 respondents, 2599 were used for analysis. There were statistically significant, but complex associations between experiences of COVID-19 and VAS ratings. For example, in the MNPS analysis, greater subjective risk of infection implied higher VAS ratings for dead, yet worry about infection implied lower ratings. In the Tobit analysis, people whose health was affected by COVID-19 rated 55555 higher, whether the effect on health was positive or negative. Conclusion The results complement previous findings that the onset of the COVID-19 pandemic may have impacted EQ-5D-5L health state valuation, and different aspects of the pandemic had different effects.

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What is the right level of spending needed for health and care in the UK?

Cited by 21 publications

References 49 publications

Promoting innovation while controlling cost: The UK's approach to health technology assessment

Promoting innovation while controlling cost: The UK's approach to health technology assessment

Projections of expenditure for primary, community and long-term care Ireland, 2019-2035, based on the Hippocrates model

COVID-19 and EQ-5D-5L health state valuation

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