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Were the hospital bed reductions proposed by English Clinical Commissioning Groups (CCGs) in the sustainability and transformation plans (STPs) achievable? Insights from a new model to compare international bed numbers

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  • Rodney P. Jones

Abstract

A new model for hospital bed numbers which adjusts for end‐of‐life care and age structure is used to demonstrate that England has 20% fewer occupied beds than the other countries in the United Kingdom. It also shows that occupied beds in English Clinical Commissioning Groups (CCGs) lie parallel to a line of equivalence with New Zealand and Singapore. This is despite New Zealand and Singapore having invested many years into developing integrated care, while England has not. In addition, England has around half the number of nursing home beds per death available in these two countries. Large bed reductions proposed in the sustainability and transformation plans were likely to have been manipulated to meet financial cost‐saving targets rather than a result of genuine modelling of demand. The ways in which bed demand models can be manipulated to give whatever answer is required are discussed. Trends in occupied acute medical beds in England over the past 20 years show no real reduction, despite a large reduction in available beds. This has resulted in daytime occupancy for adult beds being close to 100% and with resulting queues to admission. The ways to improve the small‐area application of the model including the use of deprivation or social groups are discussed.

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  • Rodney P. Jones, 2021. "Were the hospital bed reductions proposed by English Clinical Commissioning Groups (CCGs) in the sustainability and transformation plans (STPs) achievable? Insights from a new model to compare interna," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(2), pages 459-481, March.
    • Handle: RePEc:bla:ijhplm:v:36:y:2021:i:2:p:459-481
    DOI: 10.1002/hpm.3094
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    1. Ian Crawford & J. Peter Neary, 2023. "New Characteristics and Hedonic Price Index Numbers," The Review of Economics and Statistics, MIT Press, vol. 105(3), pages 665-682, May.
    2. Aly, Emad-Eldin A.A., 2020. "On order statistics from Laplace-type distributions," Statistics & Probability Letters, Elsevier, vol. 160(C).
    3. Jonas Krämer & Jonas Schreyögg, 2019. "Demand-side determinants of rising hospital admissions in Germany: the role of ageing," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(5), pages 715-728, July.
    4. Green, Mark A. & Subramanian, S.V. & Vickers, Daniel & Dorling, Danny, 2015. "Internal migration, area effects and health: Does where you move to impact upon your health?," Social Science & Medicine, Elsevier, vol. 136, pages 27-34.
    5. Jusmiana, Andi & , HERIANTO, 2020. "Suplemen Materi Statistik Terapan dalam Ilmu Kesehatan," OSF Preprints cr3ug, Center for Open Science.
    6. Christoph Stadtfeld & Tom A. B. Snijders & Christian Steglich & Marijtje van Duijn, 2020. "Statistical Power in Longitudinal Network Studies," Sociological Methods & Research, , vol. 49(4), pages 1103-1132, November.
    7. Muzychenko PF & Chernyak VA & Tutchenko MI & Dubenko DE, 2019. "Perspectives of Examination in Clinical Practice," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 19(2), pages 14236-14239, July.
    8. Martin Ricker & Genaro Gutiérrez-García & David Juárez-Guerrero & Margaret E K Evans, 2020. "Statistical age determination of tree rings," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-20, September.
    9. Unido, 2020. "International Yearbook of Industrial Statistics 2020," Books, Edward Elgar Publishing, number 19198.
    10. イワノフ, Yu. & Ivanov, Yu. & 河本, 和子 & Kawamoto, Kazuko & 雲, 和広 & Kumo, Kazuhiro & 浜, 由樹子 & Hama, Yukiko & ホメンコ, T. & Khomenko, T., 2020. "中央アジアの統計制度, Statistical System of Central Asia," CEI Working Paper Series 2019-13, Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University.
    11. da Silva, Sérgio Luiz Eduardo Ferreira & da Costa, Carlos A.N. & Carvalho, Pedro Tiago C. & de Araújo, João Medeiros & dos Santos Lucena, Liacir & Corso, Gilberto, 2020. "Robust full-waveform inversion using q-statistics," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 548(C).
    12. Si Bao & Shi Chen & Xi Wang & Wei An Zheng & Yu Zhou, 2020. "Statistical arbitrage under the efficient market hypothesis," Statistical Theory and Related Fields, Taylor & Francis Journals, vol. 4(1), pages 84-96, July.
    13. Kakad, Meetali & Utley, Martin & Rugkåsa, Jorun & Dahl, Fredrik A., 2019. "Erlang could have told you so—A case study of health policy without maths," Health Policy, Elsevier, vol. 123(12), pages 1282-1287.
    14. Unido, 2020. "World Statistics on Mining and Utilities 2020," Books, Edward Elgar Publishing, number 20171.
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    1. Rodney P. Jones, 2022. "A Model to Compare International Hospital Bed Numbers, including a Case Study on the Role of Indigenous People on Acute ‘Occupied’ Bed Demand in Australian States," IJERPH, MDPI, vol. 19(18), pages 1-27, September.

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