The Kings Fund
...How much a country spends on health care is ultimately a political and societal choice.
The majority of the British public (78 per cent in 2015) consistently rate health spending as one of their top two priorities for government, and surveys have indicated that an increasing proportion of the population support boosting NHS spending.
Governments of many high-income countries have chosen to increase spending on health services over time due to medical and technological advances which have improved health outcomes, and rising demand from patients.
This does not make the NHS a bottomless pit, and there is no reason why the NHS can’t continue to deliver high-quality and accessible health care if it is given a steady and sustainable funding path....
...An over-administered system?
Since the Health and Social Care Act 2012, many new organisations have entered the NHS.
There are now more than 200 clinical commissioning groups (CCGs) that purchase hospital, ambulance, community and mental health services. ...
The growth in the number of different organisations, and the pre-existing separation between organisations that purchase and provide NHS health care, may significantly increase the ‘transaction costs’ of delivering health care in England.
Frontline NHS organisations are also overseen by different national bodies, such as the Care Quality Commission, which regulates care quality; NHS Improvement, which regulates NHS providers; and NHS England, which oversees CCGs.
The cost of nationally mandated data collection requests from these bodies may be as much as £300–£500 million a year.
This led Lord Rose to note, in his independent review of NHS leadership, that there are too many regulatory organisations making too many reporting requests from the NHS front line.
The NHS is over-administered with too many organisations, too much regulation and too many transaction costs.
This is partly due to government reforms that have increased the complexity of the health system and the administrative burden placed on the NHS front line.