12 / 5 / 2016 3.30pm
We have compiled some key statistics on the NHS. This data was last updated in May 2016. The figures apply to England, unless otherwise stated.
- NHS net expenditure (resource plus capital, minus depreciation) has increased from £64.173 billion in 2003/04 to £113.300bn in 2014/15. Planned expenditure for 2015/16 is £116.574bn.
- Health expenditure (medical services, health research, central and other health services) per capita in England has risen from £1,841 in 2009/10 to £1,994 in 2013/14.
- The NHS net deficit for the 2014/15 financial year was £471 million (£372m underspend by commissioners and a £843m deficit for trusts and foundation trusts).
- 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.
Providers and commissioners of NHS services
There are currently in England:
- 209 clinical commissioning groups (including 199 now authorised without conditions)
- 154 acute trusts (including 101 foundation trusts)
- 56 mental health trusts (including 44 foundation trusts)
- 37 community providers (12 NHS trusts, 6 foundation trusts and 19 social enterprises)
- 10 ambulance trusts (including 5 foundation trusts)
- 7,875 GP practices
- 853 for-profit and not-for-profit independent sector organisations, providing care to NHS patients from 7,331 locations
- In 2015, across Hospital and Community Healthcare Services (HCHS) and GP practices, the NHS employed 149,808 doctors, 314,966 qualified nursing staff and health visitors (HCHS), 25,418 midwives, 23,066 GP practice nurses, 146,792 qualified scientific, therapeutic and technical staff, 18,862 qualified ambulance staff and 30,952 managers.
- There were 32,467 additional doctors employed in the NHS in 2014 compared to 2004. The number has increased by an annual average of 2.5 per cent over that time.
- There were 18,432 more NHS nurses in 2014 compared to ten years earlier. The number has increased by an annual average of 0.5 per cent over that period.
- There were 5,729 more GPs and 1,688 more practice nurses employed by GPs in 2014 than ten years earlier.
- There were 12,432 more qualified allied health professionals in 2014 compared to 2004. However the number of qualified healthcare scientists has declined for each of the past five years, with the number in 2014 874 below that of 2004.
- 51.5 per cent of NHS employees across HCHS and GP services are professionally qualified clinical staff. A further 26.6 per cent provide support to clinical staff in roles such as nursing assistant practitioners, nursing assistant/auxiliaries and healthcare assistants.
- An NHS Partners Network survey shows that more than 69,000 individuals are involved in providing front-line services to NHS patients among their membership. Approximately two-thirds are clinicians.
- Between 2009 and 2015 the number of professionally qualified clinical staff within the NHS has risen by 3.9 per cent. This rise includes an increase in doctors of 8.9 per cent; a rise in the number of nurses of 0.7 per cent; and 6.8 per cent more qualified ambulance staff.
- Medical school intake rose from 3,749 in 1997/98 to 6,262 in 2012/13 - a rise of 67.0 per cent.
- Managers and senior managers accounted for 2.35 per cent of the 1.318 million staff employed by HCHS and GP services across the NHS in 2015.
- The number of managers and senior managers increased slightly in 2014 and 2015, having declined in each of the previous four years. However 30,952 was the second lowest total since the new dataset starts in 2009.
- 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 ten other countries (Australia, Canada, France, Germany, Netherlands, New Zealand, Norway, Sweden, Switzerland and USA) the NHS was found to be the most impressive overall by the Commonwealth Fund in 2014.
- The NHS was rated as the best system in terms of efficiency, effective care, safe care, coordinated care, patient-centred care and cost-related problems. It was also ranked second for equity.
- However in the category of healthy lives (10th), the NHS fared less well.
- Current health expenditure in the UK was 8.46 per cent of GDP in 2013. This compares to 16.43 per cent in the USA, 11.12 per cent in the Netherlands, 10.98 per cent in Germany, 10.95 per cent in France, 10.40 per cent in Denmark, 10.16 per cent in Canada and 8.77 per cent in Italy.
- Current expenditure per capita (using the purchasing power parity) for the UK was $3,235 in 2013. This can be compared to $8,713 in the USA, $5,131 in the Netherlands, $4,819 in Germany, $4,553 in Denmark, $4,351 in Canada, $4,124 in France and $3,077 in Italy.
- The UK had 2.8 physicians per 1,000 people in 2013, compared to 4.1 in Germany, 3.9 in Italy, 3.8 in Spain, 3.4 in Australia, 3.3 in France, 2.8 in New Zealand and 2.6 in Canada.
- The UK had 2.8 hospital beds per 1,000 people in 2013, compared to 8.3 in Germany, 6.3 in France, 3.1 in Denmark, 3.0 in Spain and 2.8 in New Zealand.
- Average length of stay for all causes in the UK was 7.0 days in 2013. This compares to 17.2 in Japan, 9.1 in Germany, 7.7 in Italy, 7.6 in New Zealand, 6.6 in Spain and 5.6 in France.
- In the 2014 Care Quality Commission inpatient satisfaction survey 84 per cent of c56,300 respondents rated their overall experience as 7 (11 per cent), 8 (24 per cent), 9 (22 per cent) or 10 (27 per cent) out of 10.
- 81 per cent felt that they were always treated with dignity and respect while using inpatient services.
- 69 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.
- 64 per cent of respondents to the CQC's community mental health services survey for 2015 rated their experience between 7 and 10 out of 10.
- 70 per cent 'definitely' felt listened to carefully and 56 per cent 'definitely' felt as involved as they wanted to be in agreeing the care they received.
- In March 2016 95.4 per cent of 200,922 inpatients treated by NHS trusts and foundation trusts would recommend their provider to friends or family (23.2 per cent response rate). For 18,573 inpatients treated by independent sector organisations, the proportion was 99.0 per cent (41.7 per cent response rate).
- Aggregated GP Patient Survey results from January-March 2015 and July-September 2015 found that 84.9 per cent of respondents rated their overall experience at the GP surgery as 'very good' or 'fairly good.'
- 84.9 per cent felt their GP was good at treating them with care and concern. 73.3 per cent rated their overall experience at making an appointment as good.
- 67.0 per cent stated their overall experience of out-of-hours GP services was good.
- The NHS deals with over 1 million patients every 36 hours.
- In 2014/15 there were 45 per cent more operations ('procedures and interventions' as defined by Hospital Episode Statistics, excluding diagnostic testing) completed by the NHS compared to 2004/05, with an increase from 6.848m to 9.920m.
- The total annual attendances at Accident & Emergency departments was 22.923m in 2015/16, 22 per cent higher than a decade earlier (18.759m).
- The proportion of patients seen within 4 hours at A&E departments in 2015/16 was 87.9 per cent in major (type 1 units) and 91.9 per cent overall.
- There were 15.892m total hospital admissions in 2014/15, 31 per cent more than a decade earlier (12.102m).
- The total number of outpatient attendances in 2014/15 was 85.632m, an increase of 4.4 per cent on the previous year (82.060m).
- In the 2015 calendar year, 482,120 NHS patients were admitted to independent providers for their elective inpatient care. There were 802,949 referrals made by GPs to independent providers for outpatient care during the same period.
- There were 1.836m people in contact with specialist mental health services in 2014/15. 103,840 (5.7 per cent) spent time in hospital.
- There were 21.034m outpatient and community contacts arranged for mental health service users in 2014/15.
- 58,399 people were detained under the Mental Health Act in 2014/15.
- There were 3.140m category A calls (Red 1 and Red 2) that resulted in an emergency response in 2014/15, 9.3 per cent more than the previous year (2.872m).
- 71.9 per cent of Red 1 ambulance calls were responded to within eight minutes in 2014/15.
- There was 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 March 2016, there were 3.503 million patients on the waiting list for treatment. 298,747 (8.5 per cent) had been waiting for longer than 18 weeks, compared to 206,032 (6.9 per cent) at the same point in 2015.
- The number of patients waiting longer than a year for treatment declined from 20,097 in September 2011 to 214 in November 2013, before increasing slightly again. In March 2016 the number stood at 865. Over the past three years, the number waiting in excess of 26 weeks has increased from 45,054 to 92,590 in March 2016.
- 85.6 per cent of people with admitted pathways (adjusted) were treated within 18 weeks of referral in September 2015, compared to 88.3 per cent a year earlier. That was the last month for which this target was applied.
- 92.7 per cent of people with non-admitted pathways were treated or discharged within 18 weeks of referral in March 2016, compared to 95.1 per cent a year earlier.
- In March 2016, 64.4 per cent of service users who had completed their care pathway were seen within two weeks of referral under the new Early Intervention in Psychosis access standard.
- At the end of March 2016, 876,329 patients were on the waiting list for a diagnostic test. Of these, 1.7 per cent had been waiting in excess of six weeks.
Health and population
- Life expectancy for English men in 2012-14: 79.6 years.
- Life expectancy for English women in 2012-14: 82.3 years
- The UK population is projected to increase from an estimated 63.7 million in mid-2012 to 67.13 million by 2020 and 71.04 million by 2030.
- 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-85s is estimated to more than double from 1.44 million in 2012 to 3.64 million by 2037.
- The number of people of State Pension Age (SPA) in the UK exceeded the number of children for the first time in 2007 and by 2012 the disparity had reached 0.5 million. However the ONS currently projects that this situation will have reversed by 2018, with 0.3 million more children than those at SPA.
- There are an estimated 2.8 million people with diabetes in England (2014).
- In England the proportion of men classified as obese increased from 13.2 per cent in 1993 to 24.3 per cent in 2014 (peak of 26.2 in 2010), and from 16.4 per cent to 26.8 per cent for women over the same timescale (latter is the peak for the period covered).
- The proportion of boys aged 2-10 classified as obese has increased from 10 per cent in 1995 to 16.8 per cent in 2014 and for boys aged 11-15 the proportion has risen from 14 to 21.7 per cent (peak of 24 in 2004 and 2011) over the same period.
- The proportion of girls aged 2-10 classified as obese has increased from 11 per cent in 1995 to 14.1 per cent in 2014 (peak of 17 in 2007) and for girls aged 11-15 the proportion has risen from 16 to 18.5 per cent (peak of 27 in 2004) over the same period.