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Centre for Policy on Ageing | |
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| Interpreting the NHS cost indices for acute trusts | | Author(s) | Andrew Street |
| Corporate Author | Centre for Health Economics, University of York |
| Publisher | University of York, York, 1999 |
| Pages | 39 pp (Centre for Health Economics Discussion paper 175) |
| Source | Publications Centre, Centre for Health Economics, University of York YO1 5DD. |
| Keywords | National Health Service ; Hospital services ; Costs [care] ; Econometrics ; Mathematical models. |
| Annotation | The 1997 White Paper, "The new NHS", announced that Trusts would be required to publish and benchmark the costs of treatment they provide on a similar basis. Between November 1998 and March 1999, five different indices were produced purporting to measure the unit costs of service provision in acute Trusts. A Trust which appears "inefficient" on one index can emerge as relatively "efficient" on another. The original schedule, the Reference Cost Index (RCI) was limited in scope and failed to account for many of the factors influencing hospital costs which are outside management control. To rectify limitations of the RCI, the Audit Commission and Department of Health (DoH) produced three new schedules, the Casemix Cost Indices (CCIs). These attempt to take into account a range of factors deemed influential in explaining differences in unit costs across Trusts. This paper discusses reasons why the econometric analysis fails to identify variations in unit costs. There may be other ways in which performance improvements in Trusts could be encouraged. (RH). |
| Accession Number | CPA-000218205 B |
| Classmark | L4: LD: QDC: WE: 3LM |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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