OECD Economics Department Working Papers

Working papers from the Economics Department of the OECD that cover the full range of the Department’s work including the economic situation, policy analysis and projections; fiscal policy, public expenditure and taxation; and structural issues including ageing, growth and productivity, migration, environment, human capital, housing, trade and investment, labour markets, regulatory reform, competition, health, and other issues.

The views expressed in these papers are those of the author(s) and do not necessarily reflect those of the OECD or of the governments of its member countries.

English, French

Public Expenditure Reform

The Health Care Sector in the United Kingdom

Health services are largely tax-financed in the United Kingdom and account for 14 per cent of general government spending. This paper analyses how the National Health Service (NHS) has been dealing with the associated expenditure pressures in the pre-1990 set-up and during the “quasi-market” years and how it is to cope with them under the “co-operative” arrangements put in place since 1997. While the budget constraint was traditionally tight in the NHS, leading to pervasive rationing and queuing as well as diversion towards the private sector, it has been relaxed somewhat with the budgetary boost announced by the Government in March 2000. The challenge is now to make the best use of the new-found financial room for improvement ...


Keywords: budgets, United Kingdom, health
JEL: H40: Public Economics / Publicly Provided Goods / Publicly Provided Goods: General; I18: Health, Education, and Welfare / Health / Health: Government Policy; Regulation; Public Health; I11: Health, Education, and Welfare / Health / Analysis of Health Care Markets; H61: Public Economics / National Budget, Deficit, and Debt / Budget; Budget Systems; H51: Public Economics / National Government Expenditures and Related Policies / Government Expenditures and Health
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error