by Neil Craig, Cam Donaldson, Marissa Collins and Farouk Saeed

Key Facts

  • £11.82 billion was spent on health in 2013/14, around £2,200 per head. This represents 17% of total public sector expenditure in Scotland or around a third of the Scottish Government's budget.

  • £2.9 billion was spent on social care in 2013/14.

  • Spending on health and social care account for about 10% of the Scottish economy in terms of economic output.

  • The UK spent 7.3% of GDP on health care in 2013.

  • Between 1994 and 2014, all-cause mortality among people aged less than 75 years in Scotland declined by 38%.

  • Life expectancy increased by approximately 7.5 years between 1980 and 2014.

  • The gap between life expectancy and healthy life expectancy has been fairly constant over that period: we are living longer but spending similar time in less than good health.

  • Wide health inequalities persist in Scotland. For example, in 2014, CHD mortality in the most deprived fifth of the population was over twice that in the least deprived fifth.

  • The population is ageing: the number of people over 85 is expected to rise by around 150% between 2012 and 2037. This will have implications for health and social care spending.

For the full chapter, please see: Craig, N., Donaldson, C., Collins, M. & Saeed, F. (2017) The Economy, Health and Wellbeing. In Gibb, K., Maclennan, D., McNulty, K., & Comerford, M. (eds) Scottish Economy - A Living Book. London: Routledge. Available via this link.


Figure 15.1: Life Expectancy and Healthy Life Expectancy in Scotland
- All data comes from the Scottish Government's Purpose Target: Population dataset, table Pop'n HLE

Figure 15.2: Trends in Coronary Heart Disease Mortality by Deprivation Quantile
- The Scottish Index of Multiple Deprivation (SIMD) identifies small area concentrations of multiple deprivation across all of Scotland. Source: SIMD

Table 15.1: Scottish Health Budget
- All data comes from ISD Scotland's Costs Archive

Table 15.2: Comparison of 5 Year Board Operating Costs in Scotland
- All data comes from ISD Scotland's Costs Archive