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Value for money in the English NHS: summary of the evidence

Martin, S., Smith, P.C. and Leatherman, S. (2006) Value for money in the English NHS: summary of the evidence. Research Report. CHE Research Paper (18). Centre for Health Economics , York, UK.

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The extent to which the English National Health Service secures value for money for taxpayers has become a central issue of political and public debate. Questions include: how much expenditure growth has been made available to the NHS? on what has that money been spent? what improvements in the volume and quality of health care have been secured? and what are the implications for productivity? There has been a flurry of research activity designed to address these and similar questions. This report seeks to bring together this research in a concise format and draws some tentative conclusions about recent productivity changes in the NHS.

It finds that there is considerable evidence of growth in both the volume and quality of NHS activity. However, this has not in general kept pace with the growth in expenditure. On most measures, therefore, NHS productivity is either static or declining. However, the report highlights a large number of unresolved methodological issues that make it hard to draw any definitive conclusions. We conclude that the measurement of NHS productivity change makes an important contribution to national debate. However, there remains considerable scope for improving both the data and the methods underlying current estimates.

Item Type: Monograph (Research Report)
Copyright, Publisher and Additional Information: © 2006 the authors. The full text of this report can be viewed free of charge from the Centre for Health Economics web site at: http://www.york.ac.uk/inst/che/pdf/rp18.pdf
Institution: The University of York
Academic Units: The University of York > Economics and Related Studies (York)
The University of York > Centre for Health Economics (York)
Depositing User: Repository Officer
Date Deposited: 21 Feb 2007
Last Modified: 04 Oct 2010 16:55
Published Version: http://www.york.ac.uk/inst/che/pdf/rp18.pdf
Status: Published
Publisher: Centre for Health Economics
Refereed: No
Related URLs:
URI: http://eprints.whiterose.ac.uk/id/eprint/1979

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