How are NHS financial pressures affecting patient care?
The NHS is experiencing increasing financial pressure, but what does this mean for patients? This is a difficult question to answer because, while evidence on the extent of
the NHS’s financial problems is piling up, information on the impact on patients remains scarce for a number of reasons.
First, across the country
patient care varies for many reasons beyond the size of the local NHS budget: decisions about the care available to individuals are influenced by national bodies, local commissioners and providers, and clinicians at the bedside. Unlike health services in some
other countries, the NHS does not specify a list of treatments that it will provide. Instead, patients have a series of broad legal rights (laid out in the
NHS Constitution) and their care is influenced by a wide range of factors such as national policy initiatives, clinical guidelines, what’s been available locally in the past and current local priorities and needs. While decisions made by national bodies, commissioners and providers play an important role, clinicians’ decisions ‘at the bedside’ and the discussions they have with patients ultimately determine the care that each individual receives. So if an individual’s care differs from recommended practice or from the care someone else received, it may not necessarily be the result of financial factors.