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Public payment and private provision: report on the past decade

30 May 2013


A report from the Institute for Fiscal Studies and the Nuffield Trust examining the changing relationship between the public and private sector in the provision of NHS funded care in the past decade:

 Public payment and private provision: the changing landscape of health care in the 2000s

The report, authored by Sandeepa Arora and Anita Charlesworth of the Nuffield Trust, and Elaine Kelly and George Stoye from the Institute for Fiscal Studies (IFS), examines trends in the public and private sector, in both the financing and delivery of health care.

The main findings of the report are:

  • the economic crisis has had an impact on both public and private spending but thus far the impact has been greater on private spending
  • the role of non-NHS providers in delivering NHS-funded care in England increased markedly from 2006 onwards, reflecting Government policy decisions
  • the single largest share of secondary care spending on non-NHS providers went to independent sector providers (ISTCs and other private sector providers) and this has grown more quickly over the last five years than spending on services provided by the voluntary sector and local authorities
  • primary care trust (PCT) spending on what are defined in the accounts as independent sector providers varies across the country, but it increased in all regions between 2006/07 and 2011/12

Order a hard copy from the Nuffield Trust website

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