David Rowland considers the contingent role of government policy.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.
David Rowland questions the common perception that the latest Government’s proposals for NHS reform represent a turn away from private sector involvement in the NHS and the market-based orthodoxy in health policy.Read More
In the run up to the December 2019 election ─ held at a time when the NHS and social care are typically under strain ─ CHPI Director David Rowland outlines a number of key policies that the party manifestos should include if the various crises in the sector are to be addressed by the next government.Read More
Professor Calum Paton argues the integration outlined in the government’s NHS white paper is not as “innovative” as its title might suggestRead More
Circle’s lawsuit against an NHS CCG illustrates the flaws in financially comparing private and NHS providers.Read More
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
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
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
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 explores how the Health and Social Care Act 2012 has placed requirements on NHS commissioners to engage in both collaboration and competition.Read More