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Review of NI of Health and Social Care funding needs and the productivity challenge



Type: Report
Region: Republic of Ireland
Northern Ireland

Report highlights greater health and social care needs in Northern IrelandHealth Minister, Michael McGimpsey, today welcomed Professor Appleby’s update of his 2005 review of Health and Social Care in Northern Ireland.Professor Appleby’s update has identified a 9% greater need for Health and Social Care (HSC) services in Northern Ireland than in England.Commenting on the report, the Minister said: “Professor Appleby’s report also reassesses the position of Northern Ireland over the next four years against the 2002 Wanless vision for Health and Social Care. “He has concluded that Northern Ireland HSC is facing a funding gap of £1billion to meet the needs of the population. In addition, he has highlighted a further £1billion productivity challenge on top of that facing Health and Social care in Northern Ireland by 2014/15. “It is clear that to meet this huge challenge we must seek to be more efficient and importantly, improve the quality of care of our health and social services. While a daunting task, Professor Appleby’s review provides some evidence of the scope for improving productivity and performance. “In my opinion, this is a major challenge for the health and social care service in Northern Ireland, particularly when my budget has been continually cut.“I want to thank Professor Appleby for agreeing to look at this area again and I welcome his conclusions.”Notes to editors:1. The original 2005 Independent Health Review was commissioned by the Department of Finance and Personnel (DFP) Minister in December 2004, following similar reviews conducted in England and Wales in 2002 and 2003 by Derek Wanless. Professor Appleby addressed three main areas in his original report - funding, use of resources and performance management.2. The Appleby Rapid Review is available from the DHSSPS website at 3. Professor John Appleby is chief economist at the King's Fund. He has researched and published widely on many aspects of health service funding, rationing, resource allocation and performance. He previously worked as an economist with the NHS in Birmingham and London, and at the universities of Birmingham and East Anglia as Senior Lecturer in health economics. He is a visiting Professor at the Department of Economics at City University. 4. Professor Appleby was commissioned as an independent expert to undertake this review - this is not a King’s Fund report.5. Original 2005 report The report is still subject to peer review, as a suitable reviewer was not available within the current timeframe.



Rights: Public
Suggested citation:

Dhsspsni. (2011) Review of NI of Health and Social Care funding needs and the productivity challenge [Online]. Available from: [Accessed: 25th June 2019].


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