Jump to ContentJump to Main Navigation
Dismantling the NHS?Evaluating the Impact of Health Reforms$
Users without a subscription are not able to see the full content.

Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to University Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

Show Summary Details
Page of
date: 17 August 2017

NHS finances under the Coalition

NHS finances under the Coalition

Chapter:
(p.39) Three NHS finances under the Coalition
Source:
Dismantling the NHS?
Author(s):

Anita Charlesworth

Adam Roberts

Sarah Lafond

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0003

This chapter introduces some of the challenges the NHS faced over the five years of Coalition government. ‘The Nicholson Challenge’ arose following the 2008 global economic crisis. The NHS was faced with making £20 billion of efficiency savings over the next 4 years from 2011/12 to 2014/15. The Quality, Innovation, Productivity and Prevention (QIPP) programme was created to deliver these efficiency savings. The chapter discusses the various challenges faced by the NHS during these the years of this ‘Nicholson Challenge.’ The authors point out that there were various problems with the approach to measuring savings under the QIPP programme. They also evaluate the Payment by Results tariff. The chapter concludes by making some international comparisons, looking at ways in which OECD health care spending was effected during this period.

Keywords:   NHS, The Nicholson Challenge, QIPP, Payment by Results, health care spending, Coalition government

University Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us .