Health and population
- NHS net expenditure (resource plus capital, minus depreciation) has increased from £57.049 billion in 2002/03 to £105.254bn in 2012/13. Planned expenditure for 2013/14 is £109.956bn.
- The money spent per capita on NHS services in England has risen from £1,287 in 2003/04 to £1,979 in 2010/11.
- The NHS surplus for the 2012/13 financial year (covering strategic health authorities, primary care trusts, NHS foundation trusts and NHS trusts) was £2.1 billion.
- The most recently published national surveys of investment for mental health found there had been real terms reductions of 1 per cent for working age adults and 3.1 per cent for older people in 2011/12.
In the NHS there are currently in England (unless stated):
- 211 clinical commissioning groups (including 152 authorised without conditions)
- 160 acute trusts (including 101 foundation trusts)
- 56 mental health trusts (including 41 foundation trusts)
- 34 community providers (18 NHS trusts and 16 social enterprises)
- 10 ambulance trusts (including 5 foundation trusts)
- c.8,000 GP practices
- c2300 hospitals in the UK
In 2013 the NHS employed 147,087 doctors, 371,777 qualified nursing staff, 154,109 qualified scientific, therapeutic and technical staff and 36,360 managers.
The number of doctors employed by the NHS has increased by an annual average of 3.0 per cent since 2003.
There were 37,843 additional doctors employed in the NHS in 2013 compared to 2003.
There were 23,531 more NHS nurses in 2013 compared to ten years earlier. While the total employed in 2013 was an increase on the previous year, it remains below the number in 2010.
2,166 more practice nurses were employed by GPs in 2013 than ten years earlier.
There were 13,974 more qualified allied health professionals and 3,968 more health scientists employed in the NHS in 2013 compared to 2003. However the number within the latter group has declined for each of the past four years.
50.6 per cent of NHS employees are professionally qualified clinical staff.
Since 2003 the number of professionally qualified clinical staff within the NHS has risen by 16.1 per cent. This rise includes an increase in doctors of 34.4 per cent; a rise in the number of nurses of 6.8 per cent; and 17.4 per cent more qualified ambulance staff.
Medical school intake rose from 5,062 in 1997/98 to 8,035 in 2011/12 - a rise of 58.7 per cent.
Managers and senior managers accounted for 2.74 per cent of the 1.358 million staff employed by the NHS in 2012.
Between 2002 and 2012 the NHS recruited 5,020 additional managers, an average annual increase of 1.5 per cent. The number has declined in each of the past three years. In the same period more than 75,600 additional doctors and nurses have been recruited.
In 2008/09 the management costs of the NHS had fallen from 5.0 per cent in 1997/98 to 3.0 per cent.
In comparison with the healthcare systems of six other countries (Australia, Canada, Germany, Netherlands, New Zealand and USA) the NHS was found to the second most impressive overall by the Commonwealth Fund in 2010.
The NHS was rated as the best system in terms of efficiency, effective care and cost-related problems. It was also ranked second for equity and safe care.
However in the categories of long healthy and productive lives (6th) and patient-centred care (7th) the NHS fared less well.
Health expenditure in the UK was 9.4 per cent of GDP in 2011. This compares to 17.7 per cent in the USA, 11.9 per cent in the Netherlands, 11.6 per cent in France, 11.3 per cent in Germany, 11.2 per cent in Canada, 10.9 per cent in Denmark, 10.3 per cent in New Zealand, 9.3 per cent in Spain and 9.2 per cent in Italy.
The UK had 2.8 physicians per 1,000 people in 2011, compared to 4.1 in Spain, 4.1 in Italy, 3.8 in Germany, 3.3 in France, 3.3 in Australia, 2.6 in New Zealand, 2.5 in the USA and 2.4 in Canada.
The UK had 3.0 hospital beds per 1,000 people in 2011, compared to 8.3 in Germany, 6.4 in France, 3.4 in Italy, 3.2 in Spain and 2.8 in New Zealand.
Average length of stay for all causes in the UK was 7.3 days in 2011. This compares to 9.3 in Germany, 8.3 in New Zealand, 7.7 in Italy, 6.7 in Spain, 5.6 in France and 5.3 in the Netherlands.
In the 2012 Care Quality Commission inpatient satisfaction survey 81 per cent of c61,400 respondents rated their overall experience as 7 (12 per cent), 8 (24 per cent), 9 (20 per cent) or 10 (25 per cent) out of 10.
80 per cent felt that they were always treated with dignity and respect while using inpatient services.
68 per cent said that their room or ward was 'very clean.'
In the 2011 Care Quality Commission outpatient survey 95 per cent of people using outpatient services reported their care as being excellent (44 per cent), very good (39 per cent) or good (12 per cent).
89 per cent of people agreed that they were treated with dignity and respect at all these times while visiting outpatient services.
67 per cent of respondents to the CQC's community mental health services survey for 2013 rated their experience between 7 and 10 out of 10.
78 per cent 'definitely' felt listened to carefully and 72 per cent 'definitely' had their views taken into account.
Aggregated GP Patient Survey results from January-March and July-September 2013 found that 86.2 per cent of respondents rated their overall experience as 'good.'
64.2 per cent 'definitely' had confidence and trust in the last GP they saw. 78.6 per cent were satisfied with the opening hours of their practice.
67.5 per cent stated their overall experience of out-of-hours GP services were 'good.'
The NHS deals with over 1 million patients every 36 hours.
In 2012/13 there were 60 per cent more operations completed by the NHS compared to 2002/03, with an increase from 6.613m to 10.595m.
The total annual attendances at Accident & Emergency departments was 21.725m in 2012/13, 55 per cent higher than a decade earlier (14.046m).
The 95 per cent standard to see patients within 4 hours of arrival at Accident & Emergency departments was achieved in 35 weeks during 2013.
There were 15.146m total hospital admissions in 2012/13, compared to 11.414m in 2002/03.
The total number of outpatient attendances in 2012/13 was 75.456m, an increase of 1.074m on the previous year.
There were 1.590m people in contact with specialist mental health services in 2012/13. 105,224 (6.6 per cent) spent time in hospital.
There were 21.722m outpatient and community contacts arranged for mental health service users in 2012/13.
50,408 people were detained under the Mental Health Act in 2012/13.
76.2 per cent of category A ambulance calls were responded to within eight minutes in 2011/12.
There has been an 18.5 per cent increase in emergency incidents between 2007/08 and 2012/13, reaching 6.89m in the latter year.
At the end of January 2014, there were 2.900 million patients on the waiting list for treatment. 189,179 (6.5 per cent) had been waiting for longer than 18 weeks, the largest number since December 2011 and highest proportion since March 2012.
Over the past three years the number of patients waiting longer than a year for treatment has declined from 14,222 in January 2011 to 430 in January 2014.
In the same period, the number waiting in excess of 26 weeks has more than halved from 126,113 to 58,692. However it should be noted that the latter number is the highest it has been since March 2012.
90.4 per cent of people with admitted pathways (adjusted) were treated within 18 weeks of referral in January 2014, compared to 92.6 per cent a year earlier.
96.3 per cent of people with non-admitted pathways were treated or discharged within 18 weeks of referral in January 2014, compared to 97.5 per cent a year earlier.
At the end of December 2013, 682,357 patients were on the waiting list for a diagnostic test. Of these, 1.3 per cent had been waiting in excess of six weeks.
- Life expectancy for English men in 2010-12: 79.2 years.
- Life expectancy for English women in 2010-12: 83.0 years
- The UK population is projected to increase from an estimated 63.7 million in mid-2012 to 73.3 million by 2037.
- The UK population is expected to continue ageing, with the average age rising from 39.7 in 2012 to 42.8 by 2037.
- The number of people aged 65 and over is projected to increase from 10.84m in 2012 to 17.79m by 2037. As part of this growth, the number of over-80s is estimated to more than double to 6 million by 2037.
- There are an estimated 3.2 million people with diabetes in the UK (2013). This is predicted to reach 4 million by 2025.
- In England the proportion of men classified as obese increased from 13.2 per cent in 1993 to 24.4 per cent in 2012 (peak of 26.2 in 2010), and from 16.4 per cent to 25.1 per cent for women over the same timescale (peak of 26.1 in 2010).