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.
CHPI talks about the shortcomings in the Care Bill’s approach to the risk of market failureRead More
This briefing outlines concerns around the Care Bill during its passage through Parliament.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
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 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 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