Looking for a way

1
Developments in UK Health Accounts
Gavin Wallis Health Accounts Team Office for
National Statistics
OECD Meeting of Experts in National Health
Accounts 27-28 October 2003
2
Outline

• Introduction
• Total UK Health Expenditure
• UK Health Accounts
• Results
• Next Steps
• Conclusions
• Questions / Discussion

3
Introduction to UK Health Accounts

• Stimulating debate
• Previous releases
• Next releases
• Project Board
• Key users identified

4
Total UK Health Expenditure sources

• Use of National Accounts
• Major deviations dealt with
• (i) Nursing Care not funded by NHS
• (ii) Research and Development
• (iii) education and training
• Charities, religious organisations, prisons,
  armed forces

5
Total UK Health Expenditure issues

• Private finance most problematic
• Conformity with SHA
• (i) Household production of health care
  services
• (ii) Occupational health care
• Further deviations using National Accounts

6
UK Health Accounts sources

• Health administrations
• (i) Main source activity costs
• (ii) Budgetary information
• (iii) Double counting?
• Household expenditure based on National
  Accounts
• Nursing care
• Public / private split

7
UK Health Accounts issues

• Reasonable first estimate
• Some "top-down" methods
• Exclusion of Household production
  Occupational health care
• NPISH, prisons, armed forces not fully
  cross-classified
• Financial year basis
• No time series
• Health related functions?

8
Results UK Health Accounts 1999/2000
9
Total current expenditure on health by function,
UK, 1999/2000
HC.1-2. Cure/rehabilitation HC.3. LT
nursing HC.4. Ancillary services HC.5. Goods (and
related services) to outpatients HC.6. Prevention
public HC.7. Administration
10
Total current expenditure on health by provider,
UK, 1999/2000
HP.1 Hospitals HP.2 Nursing facilities HP.3
Ambulatory facilities HP.4 Retailers of
goods HP.5 Providers of public health HP.6
Administration HP.9 Rest of the world (imports)
11
Next Steps

• Household production of health services
• Further investigation into sources and methods
• Primary data sources (bottom-up)
• Function and provider for NPISH, prisons, armed
  forces?
• Calendar year basis
• Time series

12
Conclusions

• Reasonable first estimate
• Some documented deviations from SHA
• Improvements in pipeline
• Growing user demand
• Publication on 16 December 2003

13
Questions / Discussion