Cookies?
Library Header Image
LSE Research Online LSE Library Services

What can we learn from the UK’s “natural experiments” of the benefits of regions?

Bevan, Gwyn (2016) What can we learn from the UK’s “natural experiments” of the benefits of regions? Healthcarepapers, 16 (1). pp. 16-20. ISSN 1488-917X

[img]
Preview
PDF - Published Version
Download (678kB) | Preview

Identification Number: 10.12927/hcpap.2016.24768

Abstract

Marchildon highlights the lack of evidence on policies of regionalization in Canada: with regionalization being in favour in the 2000s followed by disillusion and the abolition of regions by some provincial governments. This paper looks at evidence from the UK's single-payer system of the impacts of regions on the performance of the delivery of healthcare. In England, regions were an important part of the hierarchical structure of the National Health Service (NHS) from its beginning, in 1948, to the introduction of provider competition, in the 1990s. Since then, in England, governments have understood that the NHS cannot be run from Whitehall and have tried to replace hierarchical control by provider competition. The consequence was that regions in England were subjected to frequent reorganizations from the mid-1990s with their abolition being announced in 2010. In contrast, the devolved countries of the UK have always been organized as "regions" in the form of their historic national boundaries. This paper argues that changes in the NHS in the UK in the 1990s and 2000s offer three "natural experiments," in terms of funding, organization and models of governance, that give evidence of the impacts of stable regions in the UK. It also considers the lessons of this evidence for Canada.

Item Type: Article
Official URL: https://www.longwoods.com/publications/healthcarep...
Additional Information: © 2016 Longwoods Publishing LSE has developed LSE Research Online so that users may access research output of the School. Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Users may download and/or print one copy of any article(s) in LSE Research Online to facilitate their private study or for non-commercial research. You may not engage in further distribution of the material or use it for any profit-making activities or any commercial gain. You may freely distribute the URL (http://eprints.lse.ac.uk) of the LSE Research Online website.
Divisions: Management
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Management
Date Deposited: 18 Oct 2016 14:24
Last Modified: 19 Nov 2019 12:35
URI: http://eprints.lse.ac.uk/id/eprint/68070

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics