UK

Controlling NHS Expenditure: The Impact of Labour’s NHS White Papers

1 December 1998

The English, Scottish and Welsh National Health Service (NHS) White Papers published by the government in December 1997 and January 1998, have changed the tone of…

Competition and contestability between acute hospitals

1 March 1998

The 1989-1991 Conservative reforms of the National Health Service (NHS) introduced fundamental changes in the organisation of health care in the UK. At the same time…

Managed Care – A Model for the UK?

3 January 1998

This paper examines the potential for managed care techniques to develop in the UK National Health Service. It begins with a review of managed care approaches…

National Health Service Reorganisation: Learning from History?

1 January 1998

I am greatly flattered to be invited to deliver the 1998 annual lecture of the Office of Health Economics, partly on account of my distinguished predecessors,…

Regulating Prices Paid by the NHS for Medicines Supplied by the UK-Based Pharmaceutical Industry

1 October 1997

The aim of this paper is to review alternative methods of regulating the price of pharmaceuticals bought by the NHS from the perspective of the experience of the economic regulation of other industries in the UK, notably the privatised utilities.

NHS Waiting Lists: Towards the Elusive Solution

1 August 1997

Much has been written over the last 40 years bemoaning the state of NHS waiting lists. Contributions to this literature have come from diverse fields; from…

Health Care as a Handicraft Industry

9 January 1995

The seemingly inexorable rise in real health care costs (i.e. over and above the rate of inflation) has been a cause of great concern to governments throughout…

Value of the Pharmaceutical Industry to the UK Economy

1 June 1995

Although there is widespread agreement about the important role the pharmaceutical industry plays in the U K economy, there is no easily available source presenting the chief figures in a clear and easily interpretable way. The purpose of this paper is to do precisely that. It is based on serious research and analysis by economists, and provides a perspective within which the industry may be understood, and criticised, and assessed.

Managing the NHS: past, present and agenda for the future

1 March 1994

The recent pace of administrative change in the NHS has been rapid, culminating in the October 1993 decision to abolish the Regional tier of management and…