What market-based patient choice can’t do for the NHS

Choice in healthcare does not often work in ways that economic models predict and policy makers expect, writes Marianna Fotaki. For example, the evidence that choice leads to greater efficiency is not persuasive.  The theory of market imperfections in healthcare demonstrates the problems of replicating such simplistic assumptions about human behaviour in policy settings.

The Coalition government is committed to a […]

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    The Privacy Impact Assessment undertaken for care.data isn’t clear on what opting out would mean for our data

The Privacy Impact Assessment undertaken for care.data isn’t clear on what opting out would mean for our data

Privacy Impact Assessments (PIAs) exist to aid policymakers mitigate identified privacy risks and minimise unintended privacy impacts. So did the care.data PIA miss important issues or were its recommendations mishandled? It would appear both, writes Edgar Whitley. 

A recent edition of the Daily Telegraph led with a story about the details of the care.data proposals.  In making its claims that patient confidentiality could […]

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    The marketisation of the NHS is a bad deal that has arguably caused real harm to services

The marketisation of the NHS is a bad deal that has arguably caused real harm to services

The significant financial pressure that will strain the English NHS for the foreseeable future makes avoidance of waste essential. Since the 1980s market reforms have been advanced as a means by which to curb waste, but Calum Paton finds that market policies have incurred huge direct and opportunity costs while arguably damaging the service provided. Do the questionable benefits outweigh […]

The dynamic consent model provides a way forward for care.data

What do the delays to the care.data plans tell us about privacy and policy making? Edgar A. Whitley considers whether the delays are the result of a poor communication strategy, ill–advised nudges or the consequences of a particular view of respect for persons and individual autonomy. A six month delay in the implementation of the controversial care.data proposals has just been […]

We need a better understanding of the effects of ‘medical tourism’ on health systems to have an informed debate about fairness and regulation

Medical tourism is not a one-way street. Research shows the number of patients travelling from the UK for treatment abroad is greater than the number coming to the UK. Johanna Hanefeld, Neil Lunt and Richard Smith looked at effects of health tourists on the NHS and uncovered a nuanced picture which has implications for debates around medical tourism, migration and health. Recent public attention […]

The obesity epidemic is spreading more rapidly than expected, but many people don’t even recognise that they are too heavy

Recently, it has been shown that the average Briton exercises far less than is recommended and that obesity is on the rise. Grace Lordan quantifies some of the costs of obesity and some of the obstacles that stand in the way of exercise. Importantly, many overweight individuals do not even recognise that they are overweight, and so perhaps a first step is […]

January 15th, 2014|Grace Lordan|1 Comment|

What the NHS can learn from the introduction of markets in social care

The Health and Social Care Act was controversially enacted by the coalition government, introducing competition into the NHS. Looking at the market in state funded social care that was created over 20 years ago, Marianna Fotaki draws lessons for the NHS and about how markets in state funded care services operate when resources are constrained. She finds that the introduction of […]

New government proposals for ‘harm free’ healthcare are modelled on a marketised view that prioritises blame over learning and support

In the wake of multiple healthcare scandals involving the ill-treatment of patients, the Coalition government is determined to promote ‘harm free’ care within the NHS. Bob Hudson explores the implications and omissions of new proposals aimed at improving patient safety. Responding to scandals in healthcare treatment must rank as one of the hottest policy issues of 2013. Following on from […]

December 3rd, 2013|Bob Hudson|1 Comment|

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Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported
This work by British Politics and Policy at LSE is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported.