An estimated £30bn of NHS spending is now under threat in the run-up to the general election.
And that could mean the NHS is looking to cut back on services, or that it might take action to reduce its operating costs.
This article looks at the potential implications for services across the NHS.
What could be cut?
Some NHS services are expected to be axed under the Coalition’s plans, while some services will be offered for free to make up the shortfall.
These include the National Health Service, Care Quality Commission (CQC) and mental health services.
What’s more, there are also fears about the impact on services that are already under pressure, such as primary care, acute and hospital care.
How much is at risk?
There are a number of factors at play when it comes to the impact of the cuts.
The CQC and the CQD both have a role in determining whether the NHS will be able to cope with the pressures that could arise from the cuts, and they are also looking at the impact that the extra funding may have on the health service’s ability to deliver services.
The government’s £12bn spending freeze in 2019-20 was partly based on the CZO’s recommendations.
If these changes go ahead, they will make some services more expensive and others less so.
The budget will also put pressure on the NHS’s capacity to manage the consequences of the planned cuts.
It will mean that fewer people will have access to care.
For example, if the CMA decides to close schools in order to meet budget targets, then that could result in more patients being sent home for treatment, or fewer people receiving care for chronic conditions.
This is known as the “hidden cost” of treating people with chronic conditions and is often associated with poor outcomes for patients.
What about the NHS budget?
The CMA’s report into the CME and CQB (the Health and Social Care Executive) recommended that the NHS should continue to cover a maximum of £30.4bn in its budget for the next five years, but the government has indicated that it may reduce this to £20bn.
This would put the NHS in breach of a previous Government promise that it would not spend more than £20 billion on the budget.
This will mean, in effect, that the CFA will be cutting services while the CDA will continue to pay for them.
In this way, the CBA has been using the CZA’s budget as a “black list” to target cuts to the NHS, which would have a chilling effect on other NHS services.
But what about the Government’s claims that the cuts will not be felt in the long run?
Some of the claims about the CZE budget and NHS’s financial future are hard to accept.
The Government has promised that there will be no cuts to health spending, and that the overall CZE spending will not fall by more than 2 per cent, despite the Cza’s claim that its spending will increase by a further 1.3 per cent.
What this means is that, in theory, the overall NHS spending will be higher than it is now, although it will still be smaller than it would have been under the previous Government.
How many services will the CSA be able, in principle, to cut?
Under the CSE, the NHS spends more than $2.6 trillion per year on the public sector, including Medicare and social care.
However, the Government will only be able in principle to cut Medicare spending by an estimated 3 per cent from 2019-2020, with no further cuts being made.
This means that the total amount of spending on the Public Sector in 2019 would fall by around $3.3 trillion.
Under the Conservative Party’s Budget, the budget will focus on funding services that the government thinks will be most at risk from cuts.
These will include the health and social service, as well as mental health and primary care services.
How does this impact on the way services are delivered?
The budget also suggests that some services might be cut, such a primary care service and care home.
This could be an attempt to ensure that patients who need the care of a home do not have to go to another provider.
This has been seen in the case of a man with cancer who was referred to a private care home by a GP.
The Home Care and Support Agency is the provider of the home care service for the man, who is not in a GP network.
However in the past, the man has complained of poor quality care.
The private provider has claimed that they will be responsible for all care for the patient, and have said that there would be no increase in the charges for this.
In effect, the private provider is telling the Government that they are not accountable to the government, which is in breach, in this case, of its commitment to the health system.
The Department for Health said that it was working closely with the private providers, and would look to improve care, but that it could not