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.

For the past two decades the vast majority of social care services paid for by the state (care homes, home care and other support services) are provided by the private sector in England.  As a result there is a substantial evidence base of the effects of the marketisation of social care services on the quality of care which is provided to older people and other people with disabilities.  The way in which the market in social care... Read More