Understanding NHS financial pressures Visual resources from the report

Average annual real terms increases in health funding Sources: Lafond et al, 2016: http://www.health.org.uk/publication/perfect-storm-impossible-climate-nhs-providers%E2%80%99-finances King’s Fund et al, 2016: https://www.kingsfund.org.uk/publications/autumn-statement-2016 Figures adjusted based on GDP deflater in HM Treasury, 2016: http://www.gov.uk/government/publications/autumn-statement-2016-documents

Net financial position by provider sector, 2013/14 to 2015/16 Dunn P, McKenna H, Murray R (2016). Deficits in the NHS 2016. Briefing. London: The King’s Fund. Available at: www.kingsfund.org.uk/publications/deficits-nhs-2016 NHS Improvement (2016a). NHS foundation trusts: consolidated accounts 2015/16. Norwich: The Stationery Office. Available at: www.gov.uk/government/publications/nhs-foundation-trusts-consolidated-accounts-201516 NHS Improvement (2016b). NHS Trust Development Authority annual report and accounts 2015–16 [online]. Available at: www.ntda.nhs.uk/blog/2016/07/21/nhs-trust-development-authority-annual-report-and-accounts-201516/

Factors affecting the quality of health care services patients receive Source: Robertson et al (2017). Understanding NHS financial pressures: how are they affecting patient care? London: The King’s Fund. Available at: https://www.kingsfund.org.uk/publications/understanding-nhs-financial-pressures

Six ways in which NHS financial pressures can affect patient care Source: Klein R, Maybin J (2012). Thinking about rationing. London: The King’s Fund. Available at: www.kingsfund.org.uk/publications/thinking-about-rationing

Examples of six types of rationing in four case study service areas Source: Source: Robertson et al (2017). Understanding NHS financial pressures: how are they affecting patient care? London: The King’s Fund. Available at: https://www.kingsfund.org.uk/publications/understanding-nhs-financial-pressures

A simplified model of possible responses to funding pressures Source: Source: Robertson et al (2017). Understanding NHS financial pressures: how are they affecting patient care? London: The King’s Fund. Available at: https://www.kingsfund.org.uk/publications/understanding-nhs-financial-pressures

Local authority expenditure on STI testing and treatment services 2013/14 to 2015/16 Sources: https://www.gov.uk/government/statistical-data-sets/local-authority-revenue-expenditure-and-financing-england-2014-to-2015-individual-local-authority-data-outturn https://www.gov.uk/government/statistics/local-authority-revenue-expenditure-and-financing-england-2015-to-2016-individual-local-authority-data-outturn https://www.gov.uk/government/statistics/local-authority-revenue-expenditure-and-financing-england-2013-to-2014-individual-local-authority-data-outturn

The number of STI diagnoses among men who have sex with men in England, 2006 to 2015 Source: Public Health England (2015b). ‘Sexually transmitted infections in England, 2015’ [online]. Slide set. Public Health England website. Available at: www.gov.uk/government/uploads/system/uploads/ attachment_data/file/535085/England_STI_Slide_Set_2015.pdf

Number of NHS-funded elective hip replacements recorded in Hospital Episode Statistics, England, 2000/1 to 2015/16 Sources: NHS Digital (2016b). Hospital admitted patient care activity, 2015–16. Summary report [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/catalogue/PUB22378 Health and Social Care Information Centre (2016). Prescriptions dispensed in the community: England 2005–2015 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ catalogue/PUB17644 Health and Social Care Information Centre (2015a). Hospital Episode Statistics, admitted patient care – England, 2014–15 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ catalogue/PUB19124 Health and Social Care Information Centre (2015b). Hospital Episode Statistics, admitted patient care, England – 2013–14 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ catalogue/PUB16719 Health and Social Care Information Centre (2013). Hospital Episode Statistics, admitted patient care, England – 2012–13 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ catalogue/PUB12566 Health and Social Care Information Centre (2012). Hospital Episode Statistics, admitted patient care – England, 2011–12 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ catalogue/PUB08288 Health and Social Care Information Centre (2011). Hospital Episode Statistics, admitted patient care – England, 2010–11 [online]. Available at: www.content.digital.nhs.uk/pubs/hesadmitted1011 Health and Social Care Information Centre (2010). Hospital Episode Statistics, admitted patient care – England, 2009–10 [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/ pubs/hes0910 Health and Social Care Information Centre (2009a). Hospital Episode Statistics, admitted patient care – England, 2007–08 [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/ pubs/hes0708 Health and Social Care Information Centre (2009b). Hospital Episode Statistics, admitted patient care – England, 2008–09 [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/ pubs/hes0809 Health and Social Care Information Centre (2007). Hospital Episode Statistics, admitted patient care – England, 2006–07 [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/ pubs/hes0607. Health and Social Care Information Centre (2006). Hospital Episode Statistics, admitted patient care – England, 2005–06 [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/ catalogue/ Health and Social Care Information Centre (2005). Hospital Episode Statistics, admitted patient care – England, 2004–05 [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/ catalogue/PUB03644 Health and Social Care Information Centre (2004). Hospital Episode Statistics, admitted patient care – England, 2003–04 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ searchcatalogue?productid=3606 Health and Social Care Information Centre (2003). Hospital Episode Statistics, admitted patient care – England, 2002–03 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ searchcatalogue?productid=3628 Health and Social Care Information Centre (2002). Hospital Episode Statistics, admitted patient care – England, 2001–02 [online]. Available at: http://content.digital.nhs.uk/searchcatalogue? productid= Health and Social Care Information Centre (2001). Hospital Episode Statistics, admitted patient care – England, 2000–01 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ searchcatalogue?productid=3673

Growth in NHS-funded elective hip replacements recorded in Hospital Episode Statistics compared to the growth in selected population numbers, England NHS Digital (2016b). Hospital admitted patient care activity, 2015–16. Summary report [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/catalogue/PUB22378 Health and Social Care Information Centre (2001). Hospital Episode Statistics, admitted patient care – England, 2000–01 [online]. NHS Digital website. Available at: http://content.digital.nhs.uk/ searchcatalogue?productid=3673 Health and Social Care Information Centre (2006). Hospital Episode Statistics, admitted patient care – England, 2005–06 [online]. NHS Digital website. Available at: www.content.digital.nhs.uk/ catalogue/PUB03588 Health and Social Care Information Centre (2011). Hospital Episode Statistics, admitted patient care – England, 2010–11 [online]. Available at: www.content.digital.nhs.uk/pubs/hesadmitted1011

NHS-funded trauma and orthopaedics total waiting list and number of patients waiting more than 18 weeks to begin treatment, England, October 2011 to October 2016 NHS England (2016e). ‘Consultant-led referral to treatment waiting times data 2016–17’. NHS England website. Available at: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waitingtimes/rtt-data-2016-17/ NHS England (2016f). ‘Consultant-led referral to treatment waiting times data 2015–16’. NHS England website. Available at: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waitingtimes/rtt-data-2015-16/ NHS England (2015). ‘Consultant-led referral to treatment waiting times data 2014–15’. NHS England website. Available at: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waitingtimes/rtt-data-2014-15/ NHS England (2014). ‘Consultant-led referral to treatment waiting times data 2013–14’. NHS England website. Available at: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waitingtimes/rtt-data-2013-14/ NHS England (2013b). ‘Consultant-led referral to treatment waiting times data 2012–13’. NHS England website. Available at: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waitingtimes/rtt-data-2012-13/ NHS England (2012). ‘Consultant-led referral to treatment waiting times data, 2011–12’. NHS England website. Available at: https://www.england.nhs.uk/statistics/statistical-work-areas/ rtt-waiting-times/rtt-data-2011-12/

Source: Robertson et al (2017) Source: Robertson et al (2017). Understanding NHS financial pressures: how are they affecting patient care? London: The King’s Fund. Available at: https://www.kingsfund.org.uk/publications/understanding-nhs-financial-pressures

Source: Robertson et al (2017) Source: Robertson et al (2017). Understanding NHS financial pressures: how are they affecting patient care? London: The King’s Fund. Available at: https://www.kingsfund.org.uk/publications/understanding-nhs-financial-pressures

Read the full report at www.kingsfund.org.uk/financialpressures