European Observatory on Health Systems and Policies

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United Kingdom

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Online HiT With modifications since publication of printed version 1. Introduction 1.1 Geography and sociodemography 1.2 Economic context 1.3 Political context 1.4 Health status 2. Organization and governance 2.1 Overview of the health system 2.2 Historical background 2.3 Organization 2.4 Decentralization and centralization 2.5 Planning 2.6 Intersectorality 2.7 Health information management 2.8 Regulation 2.9 Patient empowerment 3. Financing 3.1 Health expenditure 3.2 Sources of revenue and financial flows 3.3 Overview of the statutory financing system 3.4 Out of pocket payments 3.5 Voluntary health insurance 3.6 Other financing 3.7 Payment mechanisms 4. Physical and human resources 4.1 Physical resources 4.2 Human resources 5. Provision of services 5.1 Public health 5.2 Patient pathways 5.3 Primary / ambulatory care 5.4 Specialized ambulatory care / inpatient care 5.5 Emergency care 5.6 Pharmaceutical care 5.7 Rehabilitation / intermediate care 5.8 Long term care 5.9 Services for informal carers 5.10 Palliative care 5.11 Mental health care 5.12 Dental care 5.13 Complementary and alternative medicine 5.14 Health services for specific populations 6. Principal health reforms 6.1 Analysis of recent reforms 6.2 Future developments 7. Assessment of the health system 7.1 Stated objectives of the health system 7.2 Financial protection and equity in financing 7.3 User experience and equity of access to health care 7.4 Health outcomes, health service outcomes and quality of care 7.5 Health system efficiency 7.6 Transparency and accountability 8. Conclusions 8. Conclusions

Reform log

21 July 2016 - Department of Health accounts 2015/16 (England)Read more 20 July 2016 - The UK votes to leave the EU - possible implications for health and social careRead more 14 October 2015 - The King's Fund finds that NHS performance frameworks need to be simplifiedRead more 13 October 2015 - Monitor and NHS Trust Development Authority to create a new regulatorRead more

Health policy updates

A new approach to planning in the NHS in England: sustainability and transformation plans (STPs) published 30/09/2016 NHS Improvement becomes single regulator for NHS providers published 01/04/2016 Governance and accountability following the Health and Social Care Act 2012 published 28/02/2015 Competition and Choice following the Health and Social Care Act 2012 published 28/02/2015

HiT Profile United Kingdom

Vol. 17 No. 5 2015: This is the latest published version of the health systems in transition profile (HiT) for the United Kingdom written by Jonathan Cylus, Erica Richardson, Lisa Findley, Marcus Longley, Ciaran O'Neill, David Steel. Download HiT full version

HSPM members for the United Kingdom The King's Fund

Contributors Authors: Sarah Gregory, Beccy Ashton, Helen McKenna, Phoebe Dunn. Editors: Jonathan Cylus

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