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Hospital productivity growth in the English NHS 2008/09 to 2013/14

Author

Listed:
  • María José Aragón

    (Centre for Health Economics, University of York, York, UK.)

  • Martin Chalkley

    (Centre for Health Economics, University of York, York, UK.)

  • Adriana Castelli

    (Centre for Health Economics, University of York, York, UK.)

  • James Gaughan

    (Centre for Health Economics, University of York, York, UK.)

Abstract

This report is concerned with the extent to which NHS hospital Trusts make better use of resources over time by increasing the number of patients they treat and the services they deliver for the same or fewer inputs. The ratio of all outputs to all inputs is termed Total Factor Productivity (TFP) and growth in TFP is vital to achieving patient care with increasingly limited resources. Measures of TFP for the NHS as a whole are well-established but any aggregate measure may reflect a diversity of experience and performance across individual Trusts. In this report we extend earlier studies to determine whether measures of TFP growth at the level of individual Trusts can establish consistently high performers - Trusts that habitually exhibit above average TFP growth. This work is potentially important because it may establish a benchmark figure for high performance and thus enable setting realistic targets for efficiency savings, and identify Trusts that are exemplars of good performance so that others can learn from their practices and methods.

Suggested Citation

  • María José Aragón & Martin Chalkley & Adriana Castelli & James Gaughan, 2016. "Hospital productivity growth in the English NHS 2008/09 to 2013/14," Working Papers 138cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:138cherp
    as

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    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP138_Hospital_Productivity_NHS.pdf
    File Function: First version, 2016
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    References listed on IDEAS

    as
    1. Castelli, Adriana & Laudicella, Mauro & Street, Andrew & Ward, Padraic, 2011. "Getting out what we put in: productivity of the English National Health Service," Health Economics, Policy and Law, Cambridge University Press, vol. 6(3), pages 313-335, July.
    2. Chris Bojke & Adriana Castelli & Katja Grasic & Andrew Street, 2015. "Productivity of the English NHS: 2012/13 update," Working Papers 110cherp, Centre for Health Economics, University of York.
    3. Adriana Castelli & Andrew Street & Rossella Verzulli & Padraic Ward, 2015. "Examining variations in hospital productivity in the English NHS," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(3), pages 243-254, April.
    4. Maria Jose Aragon Aragon & Adriana Castelli & James Gaughan, 2015. "Hospital trusts productivity in the English NHS: uncovering possible drivers of productivity variations," Working Papers 117cherp, Centre for Health Economics, University of York.
    5. Andrew Street & Padraic Ward, 2009. "NHS input and productivity growth 2003/4 - 2007/8," Working Papers 047cherp, Centre for Health Economics, University of York.
    6. Chris Bojke & Adriana Castelli & Katja Grasic & Daniel Howdon & Andrew Street, 2016. "Productivity of the English NHS: 2013/14 update," Working Papers 126cherp, Centre for Health Economics, University of York.
    7. Mary O'Mahony & Lucy Stokes, 2005. "Developing new approaches to measuring NHS outputs and productivity," National Institute of Economic and Social Research (NIESR) Discussion Papers 264, National Institute of Economic and Social Research.
    Full references (including those not matched with items on IDEAS)

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