An independent non-party think tank promoting a vision of health and social care based on accountability and the public interest

Reports & analyses

Plugging the leaks in the UK care home industry – Strategies for resolving the financial crisis in the residential and nursing home sector

Featured, Reports | November 7, 2019

This report identifies where each pound that goes into the care home industry ends up by using a forensic study of the accounts of over 830 adult care home companies. If finds significant levels of leakage of money from front-line care, including to profit, rental bills and debt repayments.

CHPI evidence to the inquiry into Ian Paterson

Briefings, Featured | August 14, 2019

Today the Centre for Health and the Public Interest publishes its evidence to the Inquiry into the actions of the convicted Breast Surgeon Ian Paterson.

Pounds for Patients? How the private hospital sector uses financial incentives to win the business of medical consultants

Featured, Reports | June 30, 2019

This report looks into how the private hospital sector uses financial incentives to attract NHS consultants to work for them.

Who decides the price and availability of NHS medicines?

Briefings, Featured | March 18, 2019

This briefing summarises the key forces determining the price and availability of new medicines in the NHS.

Dealing with the legacy of PFI – options for policymakers

Reports | October 18, 2018

This report analyses five options available to policy makers to address the problems caused by existing PFI schemes.

CHPI blog

What exactly is the government strategy for COVID-19, and is it right?

| March 31, 2020

Prof David McCoy considers the UK government’s approach to controlling the disease, the health system, and the social and economic impacts.

Who benefits from the NHS’s bailout of private hospitals?


The government’s recent deal with private hospitals, who will provide their beds and staff to help the NHS cope with coronavirus, has been framed as a significant boost for the NHS. But the larger benefits are arguably for the private hospitals themselves and their lenders and landlords, who in effect have received a bailout from the government at a time of crisis.

Behind the Curve – how a focus on cost reduction and competition has left the NHS unable to protect the population’s health

, & | March 18, 2020

Policy makers have known about the likelihood and impact of a virus like COVID-19 for many years. And yet the risks to population health have barely received a mention in long-term planning for the NHS over the last decade.

The Paterson inquiry is a missed opportunity to tackle systemic patient safety risks in private healthcare

| February 19, 2020

In this piece, published today in BMJ Opinion, CHPI Director David Rowland sets out how he sees the Paterson Inquiry’s report as yet another missed opportunity to tackle the systemic patient safety risks which lie at the heart of the private hospital business model.

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