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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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NHS finances under the Coalition

NHS finances under the Coalition

(p.39) Three NHS finances under the Coalition
Dismantling the NHS?

Anita Charlesworth

Adam Roberts

Sarah Lafond

Policy Press

This chapter introduces some of the challenges the NHS faced over the five years of Coalition government. ‘The Nicholson Challenge’ arose following the 2008 global economic crisis. The NHS was faced with making £20 billion of efficiency savings over the next 4 years from 2011/12 to 2014/15. The Quality, Innovation, Productivity and Prevention (QIPP) programme was created to deliver these efficiency savings. The chapter discusses the various challenges faced by the NHS during these the years of this ‘Nicholson Challenge.’ The authors point out that there were various problems with the approach to measuring savings under the QIPP programme. They also evaluate the Payment by Results tariff. The chapter concludes by making some international comparisons, looking at ways in which OECD health care spending was effected during this period.

Keywords:   NHS, The Nicholson Challenge, QIPP, Payment by Results, health care spending, Coalition government

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