In terms of GDP percentage, total health care expenditure was increasing until it reached 9.9% of GDP in 2009 where it started declining to reach 9.1% of GDP in 2012. In the same period the GDP percentage of public health care expenditure was reduced from 7% in 2009 to 6.2% in 2012. Within this period and in order to fulfill loan conditions which require that public health care expenditures must not exceed 6% of GDP, The Ministry of Health had to go through a wide range of reforms aiming, among others, at the following goals: to achieve greater efficiency in all NHS services and, at the same time, to achieve a radical cut in expenses.