Neil Carmichael - MP for Stroud

Introduction

Set the scene by reference to the NHS White Paper and describe the scope and parameters of the paper including that the NHS will always be free at the point of delivery.

Methodology and Comparative Studies

Discuss comparative political studies and signpost analysis, argument and debate.

Sixty years of history in health provision across Europe

Compare and contrast emerging provision in healthcare in UK, France and possibly Germany in order to highlight key political drivers, rational behind decisions, shape of services and delivery.

Current challenges - Inputs and Outputs: an overview

Set out inputs (public and private) against key indicators of outcomes. Value of money, comparative costs etc.

Commissioning

Describe recent history of commissioning, highlighting range of commissioners and providers. How can commissioning be improved by learning from European examples?

Structures and Gate-keeping

Discuss the different approaches to access to doctors and specialists. Consider competition/transparency models. Identify gate-keepers and access effectiveness. Alternative routes to care (pharmacy and so on).

Funding and Resource Management

Where does funding come from, how is it apportioned and what are the accountability systems? What is worth copying?

Acute Hospitals or Care in the Community

What is the pattern across Europe and how does it compare to the UK experience? What should be our objective and how can it be achieved?

Public Health, Local Government and Social Care

 Resource allocation, role of local services/government and interfaces between health care and social services.