Intended for healthcare professionals


Public spending must improve health, not just healthcare

BMJ 2018; 363 doi: (Published 06 November 2018) Cite this as: BMJ 2018;363:k4673

Importance of Health Promotion

The office of the British Prime Minister in the UK recently announced a £20.5bn budget and quoted it as a golden paper-wrapped gift for the National Health System’s (NHS) “70th birthday”. We think that Karen Bloor and Maria Goddard (2018) observations that by talking in numbers, there has been a decline when compared to expense trends of the past 70 years. As a matter of fact, Karen Bloor and Maria Goddard (2018), think that a more knowledgeable approach is needed to understand where funding streams come from and where expenses should go first in a way that facilitates social conditions.

Deep cuts affect many other aspects of social life, which also have an adverse impact on health and life expectancy. Reduction in the public health budget shows that the NHS’s prevention plan may not be important. As Karen Bloor and Maria Goddard (2018) put it, the determinants of health are much wider than the provision of health and social care. According to the Institute for Fiscal Studies, healthcare spending rose from 23% of public service spending in 2000 to 29% in 2010, and this figure is set to reach 38% by 2023-24. Therefore, the upcoming health inequalities is proof of the fallbacks of such deep budget cuts.

So we are positive that Karen Bloor and Maria Goddard (2018) understand the inner details of the NHS, economics and taxation. Considering all these aspects, we think it would be necessary to invest more in social security to prevent health inequalities and ensure a good quality of life.

Competing interests: No competing interests

22 November 2018
Wanda Estinfort
Nurse/Currently Global Health masters student/ College of public Health/ Department Global Health and Development
Iqbal Usman / Assistant professor/masters and PhD Global Health and Development/ college of public health/ Taipei medical university
Taipei Medical University of Taiwan
Wuxing street