Follow us
Publications Commentary Research People Events News Resources and Videos About IFS
Home Publications New joints: private providers and rising demand in the English National Health Service

New joints: private providers and rising demand in the English National Health Service

IFS Working Paper W15/22

This paper investigates how changes in hospital choice sets affect levels of patient demand for elective hospital care. We exploit a set of reforms in England that opened up the market for publicly-funded patients to private hospitals. Impacts on demand are estimated using variation in distance to these private hospitals, within regions where supply constraints are fixed. We find that the reforms increased demand for publicly-funded procedures. For public hospitals, volumes remained unchanged but waiting times fell. Taken together, our results provide new insights into how individuals make choices about their care and the scope of competition between hospitals.

More on this topic

Report
The Department of Health and Social Care (DHSC) is responsible for setting the overall direction for social care policy and funding in England. Recently DHSC has developed in-house modelling capacity to examine likely implications of possible reforms to the system for funding social care. This ...
Broadcast
Paul Johnson considers what principles a fair social care system should enshrine and what likelihood there is that policies to give effect to them will be implemented.
Report
To mark the BBC’s coverage of the NHS’s 70th birthday in July 2018, researchers from the Institute for Fiscal Studies, Health Foundation, The King’s Fund and the Nuffield Trust have come together for the first time, using combined expertise to shed light on some of the big questions on the ...