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| | The NHS is nominally funded out of "National Insurance contributions", a form of personal [[taxation]] comparable to the US [[Social Security]] system. The NHS revenue stream is, in theory, entirely separate in operation from income tax.<ref>http://www.everything2.com/index.pl?node_id=1394285&</ref> In practice, the NHS is funded from general taxation, and is accepted by the British electorate as being funded in this way. All prescription medicines (however not over-the-counter ones) are available for a low standard fee in [[England]], with the fee in [[Scotland]] being slightly lower. Prescriptions are entirely free of charge in [[Wales]]<ref>http://www.dh.gov.uk/en/Healthcare/Medicinespharmacyandindustry/Prescriptions/NHScosts/DH_508</ref>. NHS treatment is available to all residents of the UK. Most services, including complex and expensive surgical procedures and drugs, are free at the point of use, and those that are not (such as the provision of glasses and dental care) are free to people on low incomes. This ensures that everyone is able to be treated, no matter what their individual wealth or means may be.<ref>http://www.nhs.uk/England/AboutTheNhs/Default.cmsx</ref> "Private" (i.e. non-NHS) doctors and hospitals do exist in Britain, but fewer than 10% of Britons choose to buy private health insurance in preference to using the NHS. (The big exception to this is in the area of dental care: NHS dentists are relatively difficult to find in many areas, and many people are forced to "go private", even if uninsured.) | | The NHS is nominally funded out of "National Insurance contributions", a form of personal [[taxation]] comparable to the US [[Social Security]] system. The NHS revenue stream is, in theory, entirely separate in operation from income tax.<ref>http://www.everything2.com/index.pl?node_id=1394285&</ref> In practice, the NHS is funded from general taxation, and is accepted by the British electorate as being funded in this way. All prescription medicines (however not over-the-counter ones) are available for a low standard fee in [[England]], with the fee in [[Scotland]] being slightly lower. Prescriptions are entirely free of charge in [[Wales]]<ref>http://www.dh.gov.uk/en/Healthcare/Medicinespharmacyandindustry/Prescriptions/NHScosts/DH_508</ref>. NHS treatment is available to all residents of the UK. Most services, including complex and expensive surgical procedures and drugs, are free at the point of use, and those that are not (such as the provision of glasses and dental care) are free to people on low incomes. This ensures that everyone is able to be treated, no matter what their individual wealth or means may be.<ref>http://www.nhs.uk/England/AboutTheNhs/Default.cmsx</ref> "Private" (i.e. non-NHS) doctors and hospitals do exist in Britain, but fewer than 10% of Britons choose to buy private health insurance in preference to using the NHS. (The big exception to this is in the area of dental care: NHS dentists are relatively difficult to find in many areas, and many people are forced to "go private", even if uninsured.) |
| − | ==Changes in recent years== | + | ==Rationing== |
| − | As a result of its comprehensive coverage, the resources of the NHS have been tightly stretched for many years, leading to lengthy waiting lists for surgery. This was the case in the 1980s and 1990s in particular. Since 1997,however, the NHS has benefited from substantially increased spending under the Labour Party, but there is a perception among many in Britain that the extra money has not been well spent or delivered appropriate improvements. Despite these perceptions, general healthcare in the UK has greatly improved, despite some problems, such as expensive drugs, still being an issue. | + | As a result of its comprehensive coverage, the resources of the NHS have been consistently tightly stretched for many years, leading to rationing such as lengthy waiting lists for surgery. This was the case in the 1980s and 1990s in particular. Since 1997, the NHS has benefited from substantially increased spending under the Labour Party, but there is a perception among many in Britain that the extra money has not been well spent or delivered appropriate improvements. However, it is noteworthy that when individuals are surveyed regarding their own experience of the NHS, the vast majority report positive experiences. |
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| − | Many critics in the UK point out that the growth of target culture and managerialism have diverted many NHS funds. This is linked to some privatisation of the NHS by the New Labour government since 1997. Privatisation of the NHS led to care to targets, rather than care to patients and has led many for a re-structuring of the NHS to a wholly governmental bodies with decentralisation to individual NHS Trusts.
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| − | However, it is very important to highlight that when individuals are surveyed regarding their own experience of the NHS, the vast majority report positive experiences. The NHS is one of the UK's populations most well regarded institutions. | |
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| | ==Poor quality care== | | ==Poor quality care== |
| | One million NHS patients have been the victims of appalling care in hospitals across Britain, according to a major report released Aug. 27, 2009. In the last six years, says the Patients Association, hundreds of thousands have suffered from poor standards of nursing, often with 'neglectful, demeaning, painful and sometimes downright cruel' treatment. | | One million NHS patients have been the victims of appalling care in hospitals across Britain, according to a major report released Aug. 27, 2009. In the last six years, says the Patients Association, hundreds of thousands have suffered from poor standards of nursing, often with 'neglectful, demeaning, painful and sometimes downright cruel' treatment. |