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Dismantling the NHS?Evaluating the Impact of Health Reforms$
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Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to Policy Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

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Did NHS productivity increase under the Coalition government?

Did NHS productivity increase under the Coalition government?

Chapter:
(p.65) Four Did NHS productivity increase under the Coalition government?
Source:
Dismantling the NHS?
Author(s):

Chris Bojke

Adriana Castelli

Katja Grašič

Daniel Howdon

Andrew Street

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0004

This chapter introduces the political focus on the productivity of the NHS. Productivity is a conceptually simple construct, relating the amount of output produced to the amount of inputs used in the production process. Productivity growth can also be calculated by comparing the change in outputs produced to the change in inputs utilised from one period to the next. Political interest is focused primarily on productivity growth. However, assessing productivity or efficiency is somewhat problematic in the context of a free-at-the-point-of-use health system service such as the NHS. The authors discuss some of the issues they face in attempting such an evaluation. With these issues in mind, the authors describe the growth in outputs, inputs and productivity between 2004/05 and 2013/14. The chapter concludes by discussing whether or not the key political measures highlighted in the first section appear to have had an influence on NHS productivity growth.

Keywords:   NHS, productivity, productivity growth, efficiency, health service

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