THE UK HEALTH SYSTEM
An international comparison of health outcomes

How do NHS health outcomes compare with those of health systems from around the world? In this report Dr Kristian Niemietz compiles OECD, Lancet and Eurocare data on survival rates of cancers, strokes and other measures of the health system of each country. The report shows that the UK falls consistently far below other countries for survival rates and is far from having the best health outcomes in the world. If we had the survival rates of those countries with the best health outcomes, over 46,400 lives a year would be saved.

In a speech on 24 October 2016, Rt Hon Owen Paterson MP, UK 2020 Chairman who commissioned the research, said it was time to break with the political consensus that says the NHS is the best health system in the world, and for the Government to conduct an urgent inquiry into what lessons could be learnt from the dozens of countries that out perform the UK.

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Full Report, The UK Health System, an international comparison of health outcomes, published 24 October 2016

Press Release Time to rethink the failing NHS, says former Cabinet Minister Owen Paterson 23 October 2016

SPEECH Time to break the political consensus around the NHS FINAL 24 October 2016

VIDEO Rt Hon Owen Paterson MP “Time to break the political consensus surrounding the NHS” 24 October 2016

VIDEO Dr Kristian Niemietz, author, “The UK Health System, an international comparison of health outcomes” 24 October 2016

A summary of the key findings is listed below:

Comparison between UK and best country for cancer and stroke treatment
Condition UK rank UK mortality rate* Best Country Mortality rate Best Country Difference in lives lost
Breast Cancer 23rd 18.9% 10.6% Sweden 4,242
Lung Cancer 30th 90.4% 69.9% Japan 9,120
Prostate Cancer 23rd 16.8% 2.8% US 6,081
Bowel Cancer 24th 43.9% 29.1% Korea 6,195
Skin Cancer 11th** 14.6% 9.6% Switzerland 679
Lymphoma non Hodgkin 16th** 43.3% 25.9% Iceland 2,243
Leukaemia 20th 52.6% 40.6% Belgium 1,038
Oral Cancer 6th** 48.5% 39.1% Malta 688
Ovarian Cancer 25th 63.6% 55.1% Finland 597
Stomach Cancer 29th 81.5% 42.1% Korea 2,752
Liver Cancer 24th 90.7% 73% Japan 833
Cervical Cancer 24th 40.5% 18.8% Norway 661
Laryngeal Cancer 6th** 38% 22.5% Iceland 360
Gallbladder Cancer 3rd** 81.4% 74.2% Belgium 65
Ischaemic stroke 21st 9.2%*** 3%*** Japan 8,010
Haemorrhagic stroke 19th 26.5%*** 11.8%*** Japan 2,849
Comparison between UK and 12th best country for cancer and stroke treatment
Condition UK rank UK mortality rate* 12th Best Mortality Rate 12th Best Country Difference in lives lost
Breast Cancer 23rd 18.9% 14% Belgium 2,504
Lung Cancer 30th 90.4% 85% Iceland & Australia 2,402
Prostate Cancer 23rd 16.8% 10.8% Sweden 2,606
Bowel Cancer 24th 43.9% 36.1% Netherlands 3,265
Skin Cancer 11th** 14.6% 14.7% Finland -4
Lymphoma non Hodgkin 16th** 43.3% 39.6% Spain 441
Leukaemia 20th 52.6% 46.4% Norway 536
Oral Cancer 6th** 48.5% 53.8% Belgium -388
Ovarian Cancer 25th 63.6% 61% France 183
Stomach Cancer 29th 81.5% 72.1% Australia 657
Liver Cancer 24th 90.7% 85.6% France 240
Cervical Cancer 24th 40.5% 34% Canada 198
Laryngeal Cancer 6th** 38% 40.2% Spain -50
Gallbladder Cancer 3rd** 81.4% 84.8% Netherlands -30
Ischaemic stroke 21st 9.2%*** 6.9%*** Switzerland 2,972
Haemorrhagic stroke 19th 26.5%*** 22%*** Israel 1,026

*Percentage of people who die within five years
**Health outcome data available for England only
***30 day mortality rates