Accessibility navigation


Provider diversity in the English NHS: a study of recent developments in four local health economies

Downloads

Downloads per month over past year

Allen , P., Turner, S. , Bartlett, W. , Perotin, V. , Matchaya, G. and Zamora, B. (2012) Provider diversity in the English NHS: a study of recent developments in four local health economies. Journal of Health Services Research & Policy, 17 (suppl 1). pp. 23-30. ISSN 1758-1060

[img] Text - Accepted Version
· Please see our End User Agreement before downloading.

119Kb

To link to this article DOI: 10.1258/jhsrp.2011.011015

Abstract/Summary

Objectives: The overall objective of the research was to assess the impact of provider diversity on quality and innovation in the English NHS. The aims were to map the extent of diverse provider activity, identify the differences in performance between Third Sector Organisations (TSOs), for-profit private enterprises, and incumbent organisations within the NHS, and the factors that affect the entry and growth of new private and TSOs. Methods: Case studies of four Local Health Economies (LHEs). Data included: semi-structured interviews with 48 managerial and clinical staff from NHS organizations and providers from the private and Third Sector; some documentary evidence; a focus group with service users; and routine data from the Care Quality Commission and Companies House. Data collection was mainly between November 2008 and November 2009. Results: Involvement of diverse providers in the NHS is limited. Commissioners’ local strategies influence degrees of diversity. Barriers to the entry for TSOs include lack of economies of scale in the bidding process. Private providers have greater concern to improve patient pathways and patient experience, whereas TSOs deliver quality improvements by using a more holistic approach and a greater degree of community involvement. Entry of new providers drives NHS Trusts to respond by making improvements. Information sharing diminishes as competition intensifies. Conclusions: There is scope to increase the participation of diverse providers in the NHS, but care must be taken not to damage public accountability, overall productivity, equity and NHS providers (especially acute hospitals, which are likely to remain in the NHS) in the process.

Item Type:Article
Refereed:Yes
Divisions:Faculty of Life Sciences > School of Agriculture, Policy and Development > Economic and Social Sciences Division > Food Economics and Marketing (FEM)
ID Code:24489
Publisher:Royal Society of Medicine Press
Publisher Statement:Allen , P., Turner, S., Bartlett, W., Perotin, V., Matchaya, G. and Zamora, B. (2011) Provider diversity in the English NHS: a study of recent developments in four local health economies. Journal of Health Services Research & Policy. pp. 1-8. ISSN 1758-1060 (In Press) DOI: 10.1258/jhsrp.2011.011015 This is the final draft, after peer-review, of a manuscript published in RSM journals: www.rsmpress.com

Download Statistics for this item.

Centaur Editors: Update this record

Page navigation