Over the last few years, the NHS system in Wales has received large scrutiny and has been criticised due to the increasing waiting times for diagnostics and surgery. Furthermore, there were very few private providers used to decrease waiting lists. A survey of attitudes aimed at the NHS was launched by Andrew R. T. Davies in 2014. This particular survey highlighted that two thirds of people in Wales believed that the NHS has decreased in its level of performance in recent years, even though the NHS is the healthcare system that they believe in. In addition, the survey established that NHS lacked funding and resources, which caused a range of problems. Due to the high level of demand with the NHS, patients have illustrated that complains and distresses were disregarded by NHS managers.
The Annual Quality Statement 2013/14 of NHS Wales highlighted that Even though waiting lists are much longer in Wales, some aspects of the service including cancer care are better in Wales than elsewhere in the UK. People have continued to defend the NHS and have emphasised that the NHS in Wales operates on £1900 per person, in contrast with the North East of England which has similar needs to that of Wales, has a budget of £2100 per person and 10% more. Waiting lists such as orthopaedic surgery may be longer in Wales some other aspects of the service such as cancer care are better in Wales. With the ageing population that has developed in the UK, making cancer more of a threat, this is a key feature of the NHS in Wales. For example, a 2015/16 report by Public Health Wales found that waiting time for colonoscopy increased from 10.9% to a significant 82.6% in 2015/16. A 2015 article posted by the Guardian highlights that nine out of 10 people in Wales are ‘satisfied’ with the care they received from their GPs and in hospitals. This contrasts with information highlighted earlier that people have criticised the NHS for slow waiting times. This source highlights that despite the good rating, many people had found it hard to access a GP in the first place. The information comes from the national survey for Wales produced by the Welsh government who have stated that 92% of people were satisfied when they have seen their GPs.
In 2009, the NHS in Wales went under a major change as an increase in population meant that they need to develop a better health care.
The NHS in Wales are faced with some major challenges which includes: the development of an ageing population, challenges in providing timely, current and consistent services in rural locations, growing obesity rates and low levels of physical activity, more people living with chronic conditions, service targets and a challenging financial climate.
We need to deliver more care closer to people’s homes and further self-care platforms to aid people who live more independent lives, carry out more joined up services amongst health and social care, and increasingly focus on public health, generating a wellness service, somewhat than a sickness service. Rather than just hospitals, it means a shift in the balance of care, looking at whole systems. There is a strong prominence on public health and long-term planning.
The situation in India
The healthcare system in India is universal and is usually imposed through a legislation requiring residents to purchase insurance. The healthcare system is run by the states and territories of India. Healthcare between states and rural and urban areas can be massively different. The public health sector is not nearly as popular as the private medical sector in India. Both urban and rural Indian households tend to use the private medical sector more frequently than the public sector, as reflected in surveys. Rural areas frequently suffer from physician shortages, and differences between states mean that people of the poorer states have less access to suitable healthcare than people of fairly more prosperous states. There are not enough hospitals, doctors, medical staff, medicines or ambulance services available in the system. Many, well-funded Indian people rely on private hospitals for healthcare except for very poor people, who rely on government hospitals as they cannot afford private out of pocket health care. Due to the lack of widespread and sufficiently funded public health services, it pushes great numbers of people to incur heavy out of pocket expenditures on services purchased from the private sector. Out of pocket expenditures in India arise even in public sector hospitals due to the lack of medicine, which means that patients have to buy them. This results in a very high financial burden on families in case of severe illness.
One feature that can help compare the healthcare situation between Wales and India is the infant mortality rates. This refers to deaths of children, usually those under one year of age, and is measured by the number of deaths of children per 1000 lives. The simple bar graph below is created by myself, using the statistic for IMR from the CIA world factbook.