Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-30T19:48:34.113Z Has data issue: false hasContentIssue false

The Role of the Actuary in the National Health Services

Published online by Cambridge University Press:  10 June 2011

G.C. Orros
Affiliation:
Universal Health Consultants Ltd., Chelsea Chambers, 262-A Fulham Road, Chelsea, London SW10 9EL, U.K. Tel: +44 (0)20 7349 8696; Fax: +44 (0)20 7349 8775; E-mail: [email protected]

Abstract

The paper discusses the role of actuaries within the NHS. Actuaries have applied the concept of Geographic Information Systems to health data on patient traffic flows, transportation studies and specialty specific information on NHS providers (such as hospitals, ambulance stations and GP practices). Actuaries have been working with NHS Trusts to generate private patient income. Actuarial modelling developments, as part of a multi-disciplinary approach, have been used to interpret health data and to assist with the reconfiguration of NHS services. Actuaries have also been involved in long-term health services planning and in the financial planning of services for chronically ill patients.

The paper outlines a series of case studies involving actuaries working in the NHS, highlighting their unique contributions. The case studies include advising on emergency health services planning, acute hospital service planning, NHS Trust private patient unit income generation, comparative peer group ranking studies, long-term population projections, health needs assessment and a feasibility study for a provider unit to care for the chronically ill. Finally, we discuss the role of the actuary in the NHS and his or her ability to build a communication bridge between NHS purchasers and providers, in the public interest.

Type
Sessional meetings: papers and abstracts of discussions
Copyright
Copyright © Institute and Faculty of Actuaries 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Institute of Actuaries Aids Working Party (1991). AIDS Bulletin No. 5. Institute of Actuaries.Google Scholar
Cooper, J.S. & Shaw, C. (1993). Fertility assumptions for the 1991-based National Population Projections. Population Trends, 71. H.M.S.O.Google Scholar
Health Service Indicators Handbook (1994). NHS Executive.Google Scholar
National Health Service and Community Care Act 1990. H.M.S.O.Google Scholar
Nuttall, S.R., Blackwood, R.J.L., Bussell, B.M.H., Cliff, J.P., Cornall, M.J., Cowley, A., Gatenby, P.L. & Webber, J.M. (1994). Financing long-term care in Great Britain. J.I.A. 121, 168.Google Scholar
OECD Economic survey for United Kingdom (1994). OECD.Google Scholar
OPCS (1991). 1989-based sub-national population projections for England, Series PP3, 8. H.M.S.O.Google Scholar
OPCS (1993). 1991-based national population projections, Series PP2, 18. H.M.S.O.Google Scholar
OPCS (1995). 1992-based national population projections, Series PP2, 19. H.M.S.O.Google Scholar
Orros, G.C. & Webber, J.M. (1987). Medical expenses insurance — an actuarial review, J.I.A. 115, 169348.Google Scholar
Orros, G.C. (1988). The potential role of private health insurance. Working Paper No. 6 of The NHS — the next forty years, healthcare delivery and funding. The Institute of Health Services Management.Google Scholar
Orros, G.C., Manjrekar, R., Moliver, M.R. & Plumb, R.H. (1993). The actuarial uses of Health Service Indicators for the National Health Service in England. Institute and Faculty of Actuaries.Google Scholar
Orros, G.C., Humble, R.A., Mckenzie, J., Moliver, M.R. & Plumb, R.H. (1994). Some actuarial uses of Health Services data for the National Health Service in Scotland. Institute and Faculty of Actuaries.Google Scholar
Robinson, R. & Legrand, J. (eds.) (1994). Evaluating the NHS reforms (see articles by Mahon, A. et al. and Jones, D.et al. Kings Fund Institute.Google Scholar
Royal Commission on the National Health Service (1979). H.M.S.O.Google Scholar
The health of the nation, a consultative document for health in England (1991). H.M.S.O.Google Scholar
The health of the nation, a strategy for health in England (1992). Reprinted 1993 (with corrections). H.M.S.O.Google Scholar
Working for patients (1989). H.M.S.O.Google Scholar