By Smee, Clive; Staff, Nuffield Trust for Research and Policy Studies in Health Services
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Additional resources for Speaking Truth to Power: Two Decades of Analysis in the Department of Health
Chancellor of the Exchequer's Budget Statement. 1 7 April 2 0 0 2 . The results o f o n e o f the study tours were subsequently published i n Hurst J ( 1 98 5 ) Financing Health Services in the United States, Canada and Britain. The King' s Fund, London. 6 Saltman R and Figueras J ( 1 9 9 7 ) European Health Care Reform : analysis of current strategies. World Health Organization, Geneva. 7 Fabian Society ( 2 00 0 ) The Commission on Taxation and Citizenship. Paying for progress. Fabian Society, London.
2 What role did analysis play in the dramatic increase in NHS funding in 2 0 0 0 and 2002? Why did spending on the NHS lag behind healthcare spending in other countries for so long? Relative to national income, UK total health expenditure and public health expenditure both fell behind the trend increase in other Western countries from 1 9 6 0 onwards . By 1 9 80, the share of total health spending in GDP in the UK was 1 . 5 % below the EU average, i . e . 5 . 6 % compared to 7 . 1 % . However, the new C onservative Government was committed to significantly reducing the share of total government expenditure and taxes in GDP .
3 There was also a change in Secretary of State in the middle of the review, with Kenneth Clarke showing much more sensitivity to the political risks of financing reform than his predecessor John Moore . For these various reasons the only glimmer of this debate that found its way into Working for Patients was a proposal to give income tax relief on insurance premiums for those aged 6 0 years or over. The smaller reviews of 1 99 1 , 1 99 3 and 1 99 7 In 1 99 1 , 1 9 9 3 and 1 9 97, Ministers or senior officials commissioned short studies of the advantages and disadvantages of hypothecated health taxes .
Speaking Truth to Power: Two Decades of Analysis in the Department of Health by Smee, Clive; Staff, Nuffield Trust for Research and Policy Studies in Health Services