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Towards locally based resource allocation in the NHS

Author

Listed:
  • Roy Carr-Hill

    (Centre for Health Economics, The University of York)

  • Nigel Rice

    (Centre for Health Economics, The University of York)

  • Peter Smith

    (Centre for Health Economics, The University of York)

Abstract

In a health care system where resources are scarce and the principle of equity is of central concern, mechanisms for the appropriate allocation of resources based on the notion of relating resource use to some concept of need are essential. Two key issues raised in the UK government’s White Paper The New NHS: modern, dependable are the ability first to define health care budgets at a local level and second to integrate budgets to encompass all relevant aspects of health care delivery. This paper considers the theoretical and practical implications of devolving NHS budgets to primary care groups. The paper advocates the development of a patient-based survey of all NHS health care utilization, which could serve as the basis for integrated global budgets for use at a local level.

Suggested Citation

  • Roy Carr-Hill & Nigel Rice & Peter Smith, 1998. "Towards locally based resource allocation in the NHS," Working Papers 159chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:159chedp
    as

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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%20159.pdf
    File Function: First version, 1998
    Download Restriction: no
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    References listed on IDEAS

    as
    1. Michaela Benzeval & Ken Judge, 1994. "The determinants of hospital utilisation: Implications for resource allocation in England," Health Economics, John Wiley & Sons, Ltd., vol. 3(2), pages 105-116, March.
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