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The NHS performance framework: taking account of economic behaviour

Author

Listed:
  • Maria Goddard

    (Centre for Health Economics, The University of York)

  • Russell Mannion
  • Peter Smith

    (Centre for Health Economics, The University of York)

Abstract

The provision of quantitative information has been given a key role in securing good performance in the new NHS. A new National Performance Framework has been proposed encompassing a number of dimensions of performance. Whilst this approach to managing the NHS is welcomed, it is essential to understand the strengths and limitations intrinsic to the use of performance indicators for this purpose. In particular, complex behavioural consequences may arise in response to the collection and dissemination of performance data, some of which may be unintended, potentially dysfunctional and damaging for the NHS. Results from a recent study on the performance of NHS Trusts are used to illustrate the sort of unintended side-effects which occur within the current system and which may in principle be replicated in the new system in future. Whilst the possibility of such consequences does not invalidate the potential of the new Performance Framework to secure the desired changes in the NHS, it does suggest that careful attention needs to be paid to the assessment of unanticipated side-effects.

Suggested Citation

  • Maria Goddard & Russell Mannion & Peter Smith, 1998. "The NHS performance framework: taking account of economic behaviour," Working Papers 158chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:158chedp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%20158.pdf
    File Function: First version, 1998
    Download Restriction: no
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    Cited by:

    1. Thomas Allen & Eleonora Fichera & Matt Sutton, 2016. "Can Payers Use Prices to Improve Quality? Evidence from English Hospitals," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 56-70, January.
    2. Paul Grout;Andrew Jenkins;Carol Propper, 2000. "Benchmarking and Incentives in the NHS," Monograph 000457, Office of Health Economics.

    More about this item

    Keywords

    performance; NHS Trusts;

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