Intended for healthcare professionals

Rapid response to:

Head To Head

Is it time for a dedicated tax to fund the NHS?

BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.j471 (Published 08 February 2017) Cite this as: BMJ 2017;356:j471

Rapid Response:

Re: Is it time for a dedicated tax to fund the NHS? Absolutely- from a German perspective.

I lecture on the differences between the German and UK systems. When all is said and done, one of the biggest differences between the two systems is the earmarked (hypothecated) funding for health that the German Social Health Insurance provides.
It does not simply stop the fluctuations in health funding levels, but it prevents these fluctuations resulting in such dips that it then takes years to resolve through hugely increased funding levels just to return to the status quo.
This is entirely cost-inefficient, and hypothecated funding would have the potential to reduce the problem significantly...leaving other meddling restructuring "initiatives" as another topic for a Head to Head!

Competing interests: No competing interests

16 March 2017
Peter Campbell
International Health Development
Germany