As the NHS turns 70 there is great interest in comparisons between the NHS and other health systems, but what key points need to be kept in mind?Read More
Around 20% of all NHS expenditure now goes to non-NHS bodies to provide care. Thousands of contracts exists between the NHS and these providers in addition to the contacts which underpin the NHS internal market.
CHPI has worked to examine the operation of this market and assess whether it delivers high quality care for patients and an efficient use of scarce resources.
The June 2017 Conservative manifesto contained a statement which looks like marking the end of a long-running and highly charged debate about how healthcare should be delivered. So do we at CHPI feel vindicated?Read More
This report describes the role that privatisation has played in the decline of the provision and quality of adult social care. It outlines a number of reforms which could help reverse the decline in the sector.Read More
In this analysis, we set sensationalist headlines about the use of personal budgets aside and concentrate on the tension between two distinct aspects of personalisation – its claims to promote social justice and its commitment to marketisation.Read More
This report raises questions about the capacity of the NHS to handle the increasing outsourcing of its services to the private sector and its ability to ensure that services provided by the private sector under contract with the NHS are safe, effective and value for money.Read More
Nick Taylor surveys the impact of outsourcing welfare programmes, and Marianna Fotaki considers the lessons for the NHSRead More
Martin Blanchard on how older people are losing out with more competition in mental health services.Read More
What market-based patient choice can’t do for the NHS: The theory and evidence of how choice works in health care
This analysis looks at how the concept of patient choice has worked in the NHS in recent years.Read More
This analysis looks at the evidence showing that creating and maintaining markets in the NHS has incurred huge financial costs and significant ‘opportunity costs’ – money which could have spent upon patient care and clinical redesign. The analysis goes on to argue that it is possible for the NHS to offer patient choice and high-quality health-care without the market.Read More
This briefing outlines concerns around the Care Bill during its passage through Parliament.Read More
This report looks at how the market in social care services in England provides the best available example for policy makers of what happens to the quality of care and the terms and conditions of the care workforce when competitive pressures are used to bring about a reduction in the cost of care to the taxpayer.Read More
This opinion piece looks at why governments of all political hues are fixated on markets and competition and runs through the current state of the evidence around the limits to markets in health care.Read More