Funding healthcare: making allocations to local areas: report by the Comptroller and Auditor General

National Audit Office
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Examines how the Department of Health and NHS England allocate funding to the local commissioners of healthcare. Part 1 covers the system for allocating funding for healthcare, the total funding available, the relevant objectives of the Department of Health (the Department) and NHS England, and the impact of the 2013 reforms to the health system. Part 2 examines how fairness and financial stability have been balanced, including the factors affecting allocation decisions and the effect of these decisions. Part 3 covers how the Department of Health (the Department) and NHS England set target allocations for each local commissioner of healthcare. Specifically, it examines how they estimate population size and adjust for relative need and health inequalities. The reports shows that there have been some improvements since 2011, including greater transparency, and decisions continue to be informed by independent, expert advice. However, the low real-terms growth in total funding for the health system in recent years has made it difficult to allocate funding in a way that achieves the twin aims of fairness and financial stability. (Edited publisher abstract)

Subject terms:
health care, financing, resource allocation, NHS, commissioning, health inequalities, health needs;
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