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Measuring NHS Output Growth

  • Adriana Castelli

    (Centre for Health Economics, University of York)

  • Mauro Laudicella

    (Centre for Health Economics, University of York)

  • Andrew Street

    (Centre for Health Economics, University of York)

We report estimates of output growth for the National Health Service in England over the period 2003/4 to 2006/7. Our output index is virtually comprehensive, capturing as far as possible all the activities undertaken for NHS patients by both NHS and non-NHS providers across all care settings. We assess the quality of output by measuring the waiting times and survival status of every single patient treated in hospital, and we allow for improved disease management in primary care. We propose and apply a method that avoids the traditional requirement for consistent definition of output categories over time in construction of output indices. Use of our approach is critical: it would be not otherwise be possible to calculate output growth for the NHS over the years we consider in any meaningful way. After correcting for significant improvements in data collection in the early period, output growth for the NHS between 2003/4 to 2006/7 averages 5.1% per year, of which 1% is due to improvements in the quality of care.

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File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/rp43_measuring_NHS_output_growth.pdf
File Function: First version, 2008
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Paper provided by Centre for Health Economics, University of York in its series Working Papers with number 043cherp.

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Length: 68 pages
Date of creation: Oct 2008
Date of revision:
Handle: RePEc:chy:respap:43cherp
Contact details of provider: Postal: York Y010 5DD
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Web page: http://www.york.ac.uk/che
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  1. Peter C Smith & Andrew Street, 2007. "Measurement of Non-Market Output in Education and Health," Working Papers 023cherp, Centre for Health Economics, University of York.
  2. Adriana Castelli & Diane Dawson & Hugh Gravelle & Rowena Jacobs & Paul Kind & Pete Loveridge & Stephen Martin & Mary O'Mahony & Philip Andrew Stevens & Lucy Stokes & Andrew Street & Martin Weale, 2007. "A new approach to measuring health system output and Productivity," National Institute Economic Review, National Institute of Economic and Social Research, vol. 200(1), pages 105-117, April.
  3. Diane Dawson & Hugh Gravelle & Mary O'Mahony & Andrew Street & Martin Weale & Adriana Castelli & Rowena Jacobs & Paul Kind & Pete Loveridge & Stephen Martin & Philip Stevens & Lucy Stokes, 2005. "Developing new approaches to measuring NHS outputs and productivity," Working Papers 006cherp, Centre for Health Economics, University of York, revised Dec 2005.
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