Finances of Public Medicine and State Schools

In summary, in the UK, state schools and public medical practices are funded from the government right, and then for small amounts they are able to do what they want. However, for a certain amount they would have to get the government's permission to spend more money.
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binbagsss
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Who decides finances in a state school or public medical practice? They are funded from the government right, and then for small amounts I guess they are able to do what they want. But for a certain amount I assume they would have to get the government's permission?
 
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  • #2
It is really country dependent.
 
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binbagsss said:
Who decides finances in a state school or public medical practice?
The Government allocates funds in the budget. The Department of Education, or Health, specifies the outcome standards that must be met.

Those specifications are higher than can be met with the regional funding provided. The front-line managers allocate the available resources, as best they can, while blaming the Government for failing to supply sufficient funding.

The teachers and medical staff try to survive, under stress, with too much work, on too little pay. The staff are sacrificed, while the people suffer.

Everyone blames those above for insufficient funding.
Everyone blames those below for unreasonable demands.

National education and medical services are too important to the health of the nation to go unfunded.
 
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Frabjous said:
It is really country dependent.
apologies ofc should have said, UK
 
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Baluncore said:
The Government allocates funds in the budget. The Department of Education, or Health, specifies the outcome standards that must be met.

Those specifications are higher than can be met with the regional funding provided. The front-line managers allocate the available resources, as best they can, while blaming the Government for failing to supply sufficient funding.

The teachers and medical staff try to survive, under stress, with too much work, on too little pay. The staff are sacrificed, while the people suffer.

Everyone blames those above for insufficient funding.
Everyone blames those below for unreasonable demands.

National education and medical services are too important to the health of the nation to go unfunded.
Okay, I guess I more meant, say the school decides to buy some equipment, spending like 1k on it... would that sort of amount need to be checked by higher up, or I assume something relatively small like that would not need higher up approval then whoever is in charge of the schools'/ medical practices' finances?
 
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It depends. If one buys bandages with the money, it's probably not a big deal. If someone buys a night on the town, it probably is.
 
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I mean I assume there's some threshold amount which also needs authorisation from higher up. Was looking for a rough idea of that.
 
  • #8
It would depend on how things are budgeted.

You may have a disposable supply budget, spend up to X in a year.
You may have a personnel budget, spend up to X, but you would be spending more in one place ((a new hire).
Once its budgeted, someone has to have the authority to spend it. Items more than certain amounts may require more documentation and getting agreements.
A new building is a special expense that a higher power would have to fund.

All this will vary with:
  • where you are in the control hierarchy
  • what exactly you are talking about
  • how things are being run
  • where your money is coming from.
 
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binbagsss said:
Who decides finances in a state school or public medical practice? They are funded from the government right, and then for small amounts I guess they are able to do what they want.
binbagsss said:
apologies ofc should have said, UK
binbagsss said:
But for a certain amount I assume they would have to get the government's permission?
No, this is not how it works in the UK.

https://educationhub.blog.gov.uk/2023/04/26/school-funding-everything-you-need-to-know/
https://www.england.nhs.uk/commissioning/primary-care/

(Note the above are for England, there are differences in Scotland, Wales and Northern Ireland).
 

FAQ: Finances of Public Medicine and State Schools

What are the primary sources of funding for public medicine and state schools?

The primary sources of funding for public medicine and state schools typically include government allocations from federal, state, and local budgets, taxes (such as income, property, and sales taxes), grants, and sometimes private donations. Public medicine may also receive funds from health insurance programs like Medicare and Medicaid.

How is the budget for public medicine and state schools determined?

The budget for public medicine and state schools is usually determined through a governmental budgeting process that involves multiple stages. This process includes proposals by relevant departments, reviews and adjustments by legislative bodies, and final approval by the executive branch. Factors considered include population needs, economic conditions, and policy priorities.

Why do public medicine and state schools often face financial challenges?

Public medicine and state schools often face financial challenges due to factors such as insufficient funding, increasing operational costs, rising demand for services, and economic downturns. Additionally, changes in policy and funding allocations can create instability and unpredictability in their financial planning.

How do financial constraints impact the quality of public medicine and state education?

Financial constraints can significantly impact the quality of public medicine and state education by limiting resources, reducing staff, and curtailing programs and services. In healthcare, this can lead to longer wait times and reduced access to treatments. In education, it can result in larger class sizes, outdated materials, and fewer extracurricular activities.

What measures can be taken to improve the financial health of public medicine and state schools?

Measures to improve the financial health of public medicine and state schools include increasing funding through higher taxes or reallocation of existing funds, improving efficiency and reducing waste, seeking alternative funding sources such as grants and private donations, and implementing policies that promote long-term financial stability. Additionally, community involvement and advocacy can play a crucial role in securing necessary resources.

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