OHE Publications

OHE releases a number of publications throughout the year, authored by OHE team members and/or outside experts. All are free for download as pdf files; hard copies of some publications are available upon request.

A description of the OHE publications categories.


October 1978

In 1978 the cost of the National Health Service in the United Kingdom will rise, to an estimated record level of £8,000 million. Even when adjusted for the falling value of the pound this means that the NHS costs three times as much as when it was first established. However, public spending in other sectors like education has risen to a similar degree and in the past decade the outlay in the NHS has remained constant at about 10 per cent of all public expenditure, less debt interest.

June 1978

In the financial year 1976-77 over £220 million was spent on health care research in the United Kingdom. Taking account of recent expenditure growth and making an allowance for less readily identifiable contributions it may be estimated that total health care research spending is currently approaching the £300 million mark. In real terms this is an almost twofold increase on the £80 million (£172 million at 1976 prices) recorded at the beginning of the decade.

September 1977

The information which pharmaceutical manufacturers provide for prescribing doctors – in the form of sales promotion and advertising – has been the subject of considerable and sometimes acrimonious controversy in Britain since the early 1960s. One result of this has been persistent political pressure to restrict both the content and volume of this information under the National Health Service. In response, the pharmaceutical manufacturers have accepted that in this respect they have to operate in a politically delicate environment.

Taylor, D.

Series on Health
March 1977

This study of the reorganised National Health Service is divided into two papers. The first describes the new structure and the management concepts on which it was based and the second examines the progress of and the criticisms made about the NHS since 1974. They were designed to complement one another although readers already familiar with the health service's administrative format may prefer to confine their attention to the latter study.

December 1975

In 1901 approximately 127,000 infants and 81,000 children aged 1-14 died in England and Wales. By 1973, the corresponding figures were 11,500 and 4,500, representing falls of 91 per cent and 94 per cent respectively. During this period the total number of persons aged 0-14 rose, albeit unsteadily, from 10.5 million (32 per cent of the total population) to 11.6 million (23 per cent).

Series on Health
August 1975

For the past 25 years the problems of the National Health Service in Britain have been considered primarily in terms of a shortage of resources. This emphasis has persisted in spite of National Health Service expenditure having doubled in real terms and in spite of huge increases in most grades of manpower. The number of doctors working in the hospitals, for example, has also doubled since 1948.

Taylor, D. ed.

July 1974

The physical health and longevity of the people of countries such as Britain has improved dramatically during the course of the past 100 years. In the middle and later decades of the 19th Century the average Englishman had at birth a life expectancy of around 40 years. Today it is nearly 70 years. In 1898 the pioneer social investigator Seebohm Rowntree recorded in a survey in York an infant mortality of 247 per 1,000 live births amongst the poorest class and one of 94 per 1,000 amongst the well-to-do.

Series on Health
June 1974

The United Kingdom's 25,000 family doctors, together with the nurses, midwives, health visitors, receptionists and others who make up the primary medical care team, deal with over 90 per cent of all illnesses which reach the formal structure of the health services. They also play a major role in generating the work of the specialist, hospital sector.

Series on Health
March 1974

Even at the start of the National Health Service's existence in 1948 it was realised by many of those employed in it that its tripartite division into hospital, local authority and executive council services, was to some extent unsatisfactory. Although the 1946 Act establishing the NHS represented a skilled and workable compromise between the interests and beliefs of the various groups involved in health care planning and delivery at that time, developments over the past 25 years have made a structural reorganisation increasingly necessary.

Series on Health
November 1972

During the course of the past hundred years countries such as Britain have seen a very marked change in their patterns of morbidity and mortality. For example, between 1848 and 1872 it has been estimated that over 32 per cent of all male deaths in England and Wales were caused by infectious diseases and that only 6 per cent were the result of cancer and diseases of the circulatory system. By 1970 the respective figures were 0.6 per cent and 56.6 per cent.