Paying for the NHS

With societal and demographic changes coming into force during the next decade, we will examine the future of healthcare in Britain and explore how, or if, we will maintain a high-quality health service into 2020. The principal driver of change in healthcare over the next ten years will be our ageing society. In 2008, 22% of the population were aged sixty or over. This proportion is increasing rapidly and by 2033, will have reached nearly 29%. As life expectancy increased, women can now expect to live to 82 and men to 78. This report poses interesting questions about the balance of power between the state and the individual in determining the future health of British citizens. It is widely accepted that the NHS will be forced to fundamentally change the way it provides healthcare in the next decade, slowly shifting more of the burden from the state towards the individual. This report aims to better understand how the balance will shift by analysing both the role of the state and changing behaviours among the public.

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CHAPTER 1

A view from Friends Provident

A word from Trevor Matthews, CEO, Friends Provident
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CHAPTER 2

Foreword from Future Foundation

A word from Barry Clark, author of Visions of Britain 2020
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CHAPTER 3

Executive Summary

An introduction to the third report in the Visions of Britain 2020 series, and a summary of the main findings.
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CHAPTER 4

NHS - Fundamentally Different in 2020

The NHS will not be the same organisation in 2020 that it is now: we simply can’t afford to run such an expensive service.
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CHAPTER 5

Individuals will have to take responsibility

Around half the population claim to be aware of a trio of key health guidelines but the numbers claiming to actually follow them is poor.
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CHAPTER 6

Unhealthy Behaviours will be Penalised

The speed with which Britain is gaining weight suggests the need for more direct intervention. Persuasion has not worked.
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CHAPTER 7

Measure for Measure: Self-Diagnosis Comes of Age

The Importance of Prevention and self-monitoring. 72% of people think that it is important to take action now to protect their health in the future.
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CHAPTER 8

Conclusions

In concluding we ask one simple question: what will be the biggest change in public health between now and 2020?
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