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  1. Cost of living and the impact on nursing labour outcomes in NHS acute trusts
    Autor*in: Propper, Carol; Stockton, Isabel; Stoye, George
    Erschienen: [2021]
    Verlag:  Institute for Fiscal Studies, London

    Retention of nursing staff within the NHS is a key policy issue. Pay policy - and the ability that trusts and nurses have to react to local working conditions and the cost of living - is likely to be a key lever in reducing attrition among current... mehr

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    Retention of nursing staff within the NHS is a key policy issue. Pay policy - and the ability that trusts and nurses have to react to local working conditions and the cost of living - is likely to be a key lever in reducing attrition among current staff. Understanding the restrictions that the current system places on trusts in the face of local cost-of-living changes, and the responses of staff to the decisions made by these trusts, is therefore important in improving staff retention [...] This report examines the effect that variation in the cost of living has on the labour supply of existing nurses in NHS acute trusts. We focus on Band 5 and 6 nurses. These accounted for 23% of the workforce in NHS acute trusts in 2018. We use administrative payroll data from the Electronic Staff Record (ESR) to examine how trusts and nurses react to changes in the local cost of living, and the impact these changes have on the amount of labour supplied by existing nurses.

     
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    Beteiligt: Payne, Judith (HerausgeberIn)
    Sprache: Englisch
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    ISBN: 9781801030243
    Weitere Identifier:
    hdl: 10419/235071
    Schriftenreihe: IFS report ; R185
    Umfang: 1 Online-Ressource (circa 52 Seiten), Illustrationen
  2. Long-term care spending and hospital use among the older population in England
    Autor*in: Crawford, Rowena; Stoye, George; Zaranko, Ben
    Erschienen: 07 Dec 2020
    Verlag:  The Institute for Fiscal Studies, London

    This paper examines the impact of changes in public long-term care spending on the use of public hospitals among the older population in England, and the cost and quality of this care. Mean per-person long-term care spending fell by 31% between... mehr

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    This paper examines the impact of changes in public long-term care spending on the use of public hospitals among the older population in England, and the cost and quality of this care. Mean per-person long-term care spending fell by 31% between 2009/10 and 2017/18 as part of a large austerity programme, but cuts varied considerably geographically. We instrument public long-term care spending with predicted spending based on historical national funding shares and national spending trends. We find public long-term care spending cuts led to substantial increases in the number of emergency department (ED) visits made by patients aged 65 and above, explaining between a quarter and a half of the growth in ED use among this population over this period. The effects are most pronounced among older people and those living in more deprived areas. This also resulted in an increase in 7-day ED revisits and emergency readmissions. However, there was no wider impact on inpatient or outpatient hospital use, and consequently little impact on overall public hospital costs. These results suggest that the austerity programme successfully reduced combined public spending on health and long-term care, but had adverse effects on the health of vulnerable users.

     
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    Sprache: Englisch
    Medientyp: Buch (Monographie)
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    Weitere Identifier:
    hdl: 10419/242899
    Schriftenreihe: Working paper / lnstitute for Fiscal Studies ; 20, 40
    Schlagworte: Long-term care; Hospital use; Emergency Department; Quality of care; Health expenditure; Austerity
    Umfang: 1 Online-Ressource (circa 51 Seiten), Illustrationen
  3. Variation in end-of-life hospital spending in England
    evidence from linked survey and administrative data
    Autor*in: Lee, Tom; Stoye, George
    Erschienen: 12 Sep 2019
    Verlag:  The Institute for Fiscal Studies, London

    Much of lifetime healthcare spending is concentrated at the end of life. This paper uses survey data linked to administrative hospital and mortality records to examine how the pattern of end-of-life hospital inpatient spending varies across different... mehr

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    Much of lifetime healthcare spending is concentrated at the end of life. This paper uses survey data linked to administrative hospital and mortality records to examine how the pattern of end-of-life hospital inpatient spending varies across different groups within a large public hospital system in England. In line with existing studies we find that spending rises sharply at the end of life even after controlling for changes in health, but the pattern of these increases varies across household composition and socioeconomic status. Quarterly spending increases more sharply for those in couples at the end of life: a 10% reduction in time to death is associated with a 10% rise in individual spending among couples, but only 8% for singles. Spending is also lower in the last 18 months of life for those with no formal qualifications relative to their more educated peers due to lower use of elective care. Differences across groups are not explained by differences in observed morbidity or cause of death, but could be explained by differential access to, or preferences for, care. These results suggest that policymakers should consider broader trends in sociodemographic attributes when forecasting future health spending and in evaluating inequity in healthcare use.

     
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    hdl: 10419/223266
    Schriftenreihe: IFS working paper ; W19, 22
    Umfang: 1 Online-Ressource (circa 29 Seiten), Illustrationen
  4. UK health spending
    Autor*in: Stoye, George; Zaranko, Ben
    Erschienen: [2019]
    Verlag:  Institute for Fiscal Studies, London

    Funding the National Health Service is the biggest single thing the government does, so it is not surprising that it is at the forefront of the election campaign. In this report, we look at how health spending has changed over the last 70 years and... mehr

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    Funding the National Health Service is the biggest single thing the government does, so it is not surprising that it is at the forefront of the election campaign. In this report, we look at how health spending has changed over the last 70 years and place funding increases since 2010 in the context of the pressures associated with an ageing population. We then compare existing spending plans for the NHS to those implied by the political parties' manifestos at the 2017 general election and examine capital spending on the health service. Finally, we consider the longer term outlook for health spending.

     
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    Beteiligt: Payne, Judith (HerausgeberIn)
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 9781912805433
    Weitere Identifier:
    hdl: 10419/235054
    Schriftenreihe: [IFS report] ; (R165)
    Schlagworte: Gesundheitskosten; Prognose; Großbritannien
    Umfang: 1 Online-Ressource (circa 14 Seiten), Illustrationen
  5. Factors associated with staff retention in the NHS acute sector
    Autor*in: Kelly, Elaine; Stoye, George; Warner, Max
    Erschienen: [2022]
    Verlag:  Institute for Fiscal Studies, London

    Against a backdrop of increasing demands for health care, the National Health Service (NHS) has long sought ways to increase the number of staff available to provide care to patients. More doctors, nurses, midwives and health-care assistants (HCAs)... mehr

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    Against a backdrop of increasing demands for health care, the National Health Service (NHS) has long sought ways to increase the number of staff available to provide care to patients. More doctors, nurses, midwives and health-care assistants (HCAs) mean that the NHS can deliver more, and higher-quality, care. Increasing staff numbers is a clear policy priority, as reflected in the 2019 Conservative Party's manifesto commitment to increase the number of nurses by 50,000 by 2024, and demand for staff has only intensified in the wake of the pandemic and the subsequent backlog in elective care. In this report we add to this evidence base by examining how a range of individual staff characteristics, regional economic conditions and trust characteristics are associated with whether individual staff members decide to leave the NHS acute sector. We use the Electronic Staff Record (ESR), the monthly payroll of the NHS, to analyse how much of the variation in retention rates between NHS acute trusts can be explained by these characteristics, and to examine which factors were associated with the leaving decisions of medical consultants, nurses and midwives, and HCAs between 2012 and 2021.

     
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    Beteiligt: Lumpkin, Rachel (HerausgeberIn)
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 9781801030830
    Weitere Identifier:
    hdl: 10419/273003
    Schriftenreihe: IFS report ; R216
    Schlagworte: Employment and income; Health and social care; Healthcare; Employment; Gender; Labour supply and workforce; NHS; Public sector
    Umfang: 1 Online-Ressource (circa 78 Seiten), Illustrationen
  6. How accurate are self-reported diagnoses?
    comparing self-reported health events in the English Longitudinal Study of Ageing with administrative hospital records
    Autor*in: Stoye, George; Zaranko, Ben
    Erschienen: 29 May 2020
    Verlag:  The Institute for Fiscal Studies, London

    This paper uses linked survey responses and administrative hospital records to examine the accuracy of self-reported medical diagnoses. The English Longitudinal Study of Ageing (ELSA) collects self-reported information on the incidence of heart... mehr

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    This paper uses linked survey responses and administrative hospital records to examine the accuracy of self-reported medical diagnoses. The English Longitudinal Study of Ageing (ELSA) collects self-reported information on the incidence of heart attacks, strokes and cancer in the past two years. We compare these reports with administrative hospital records to examine whether respondents are recorded as having an inpatient admission with these diagnoses during this period. We find self-reported medical diagnoses are subject to considerable response error. More than half of respondents diagnosed in hospital with a condition in the previous two years fail to report the condition when surveyed. Furthermore, one half of those who self-report a cancer or heart attack diagnosis, and two-thirds of those who self-report a stroke diagnosis, have no corresponding hospital record. A major driver of this reporting error appears to be misunderstanding or being unaware of their diagnoses, with false negative reporting rates falling significantly for heart attacks and strokes when using only primary hospital diagnoses to define objective diagnoses. Reporting error is more common among men, older respondents and those with lower cognitive function. Estimates relying on these self-reported variables are therefore potentially subject to sizeable attenuation biases. Our findings illustrate the importance of routine linkage between survey and administrative data.

     
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    Format: Online
    Weitere Identifier:
    hdl: 10419/223289
    Schriftenreihe: IFS working paper ; W20, 13
    Schlagworte: Krankheit; Krankenhaus; Gesundheitsstatistik; Systematischer Fehler; England; self reporting
    Umfang: 1 Online-Ressource (circa 32 Seiten)
  7. The distribution of doctor quality
    evidence from cardiologists in England
    Autor*in: Stoye, George
    Erschienen: [2022]
    Verlag:  Institute for Fiscal Studies, [London]

    There is widespread and unexplained variation in the outcomes of similar patients across place and providers in all developed health systems. This paper provides new evidence on the role senior doctors play in determining patient outcomes. I exploit... mehr

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    There is widespread and unexplained variation in the outcomes of similar patients across place and providers in all developed health systems. This paper provides new evidence on the role senior doctors play in determining patient outcomes. I exploit within-hospital quasi-random assignment of patients to senior doctors following a heart attack to estimate the effectiveness of individual doctors, and to estimate returns to experience for these doctors. 28% of doctors work in multiple hospitals over a 13 year period, enabling the separate identification of doctor effects from hospital effects or observable patient characteristics. I find that a standard deviation increase in doctor quality reduces mortality rates over the next year by 3.6 percentage points, or 25% of mean mortality. There are relatively modest returns to specific experience, with mortality reductions from a standard deviation increase in the physician’s 3-year caseload equivalent to around 6% of a standard deviation in permanent doctor quality. Estimating the effectiveness of each physician when treating patients with specific diagnoses, I analyse potential mortality reductions from reallocating doctors across patients. I find that mortality could be reduced by 8% by reassigning doctors within-hospital to patients on the basis of their comparative ability to treat each patient type. These results suggest that substantial improvements in patient outcomes could be achieved by reallocating existing senior staff resources.

     
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    Weitere Identifier:
    hdl: 10419/284200
    Schriftenreihe: Working paper / lnstitute for Fiscal Studies ; 22, 30
    Schlagworte: Doctor quality; Doctor productivity; Health inequalities
    Umfang: 1 Online-Ressource (circa 58 Seiten), Illustrationen
  8. What will the cardiovascular disease slowdown cost?
    modelling the impact of CVD trends on dementia, disability, and economic costs in England and Wales from 2020-2029
    Autor*in: Collins, Brendan; Bandosz, Piotr; Guzman-Castillo, Maria; Pearson-Stuttard, Jonathan; Stoye, George; McCauley, Jeremy; Ahmadi-Abhari, Sara; Araghi, Marzieh; Shipley, Martin J; Capewell, Simon; French, Eric; Brunner, Eric J.; O'Flaherty, Martin
    Erschienen: [2021]
    Verlag:  University of Cambridge, Faculty of Economics, Cambridge

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    Schriftenreihe: Cambridge working paper in economics ; 2173
    Schlagworte: Cardiovascular disease; dementia; costs
    Umfang: 1 Online-Ressource (circa 19 Seiten), Illustrationen
  9. Patterns of less-than-full-time working by NHS consultants
    Autor*in: Kelly, Elaine; Stoye, George; Warner, Max
    Erschienen: [2023]
    Verlag:  Institute for Fiscal Studies, London

    The 2020 NHS People Plan committed to providing flexible working opportunities to all NHS staff. An important component of flexible working is less-than-full-time (LTFT) working, enabling staff to balance paid work with other commitments. However,... mehr

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    The 2020 NHS People Plan committed to providing flexible working opportunities to all NHS staff. An important component of flexible working is less-than-full-time (LTFT) working, enabling staff to balance paid work with other commitments. However, there is currently only limited empirical evidence on the extent to which different staff groups work LTFT across the NHS. This report uses the Electronic Staff Record (ESR), the monthly payroll of all staff directly employed by NHS hospitals in England, to examine the patterns of LTFT working by consultants in NHS acute trusts. We first consider how the prevalence of LTFT working among consultants has changed over time, how it varies by age and gender, and the extent to which changes to the demographic composition of the consultant workforce explain changes over time to LTFT working rates. We then examine how patterns of LTFT working vary across NHS trusts, regions and clinical specialties. One particular area of interest for policymakers is how LTFT work interacts with, precedes and potentially delays consultants leaving the NHS. This is especially true for older, more experienced consultants, who may reduce their working hours prior to full retirement. We therefore also document how LTFT working interacts with leaving the NHS acute sector by examining how working patterns change in the four years leading up to consultants leaving the NHS acute sector, and how these patterns differ between older and younger consultants.

     
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    Quelle: Verbundkataloge
    Beteiligt: Payne, Judith (HerausgeberIn)
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 9781801031363
    Weitere Identifier:
    hdl: 10419/282937
    Schriftenreihe: IFS report ; R258
    Schlagworte: Employment and income; Health and social care; Healthcare; Employment; Labour supply and workforce; NHS; Public sector
    Umfang: 1 Online-Ressource (circa 30 Seiten), Illustrationen
  10. The impacts of private hospital entry on the public market for elective care in England
    Autor*in: Kelly, Elaine; Stoye, George
    Erschienen: 09 Jan 2020
    Verlag:  The Institute for Fiscal Studies, London

    This paper examines the impacts of private hospital entry on publicly funded elective care in England. From 2006, private hospitals were encouraged to enter certain publicly funded markets to compete with existing public hospitals and stimulate... mehr

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    This paper examines the impacts of private hospital entry on publicly funded elective care in England. From 2006, private hospitals were encouraged to enter certain publicly funded markets to compete with existing public hospitals and stimulate quality improvements. Studying elective hip replacements, we compare changes in outcomes across areas that were differentially exposed to private hospital entry, instrumenting hospital entry with the location of private hospitals in the pre-reform period. We find private hospital entry led to a 12% increase in the overall number of annual publicly funded admissions, and an 11% reduction in waiting times, but had no effect on the number of admissions at public hospitals or emergency readmissions. Additional publicly funded admissions were not associated with reduced privately funded volumes, and patients became observably healthier on average. These findings indicate the reform successfully increased publicly funded capacity but did little to improve quality at existing public hospitals.

     
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    Weitere Identifier:
    hdl: 10419/223277
    Schriftenreihe: IFS working paper ; W20, 1
    Umfang: 1 Online-Ressource (circa 45 Seiten), Illustrationen
  11. The effects of pension reforms on physician labour supply
    evidence from the English NHS
    Autor*in: Propper, Carol; Stoye, George; Warner, Max
    Erschienen: [2023]
    Verlag:  Institute for Fiscal Studies, [London]

    We examine the labour supply response of senior doctors in England following a reform of the public sector pension system that moved employees from a final salary to a career average pension plan. Exploiting the staggered rollout of the reform across... mehr

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    We examine the labour supply response of senior doctors in England following a reform of the public sector pension system that moved employees from a final salary to a career average pension plan. Exploiting the staggered rollout of the reform across narrowly defined age groups, we find that doctors increased labour supply by just under 4% four years after exposure. This implies a labour supply elasticity with respect to pension wealth of -0.05, and with respect to current returns to work of 0.04. This indicates doctors’ responses were small despite relatively large changes in financial wealth induced by the reforms.

     
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    Weitere Identifier:
    hdl: 10419/284252
    Schriftenreihe: Working paper / lnstitute for Fiscal Studies ; 23, 26
    Schlagworte: Doctor labour supply; Labour supply elasticity; Defined Benefit pensions; Public pension reform
    Umfang: 1 Online-Ressource (circa 48 Seiten), Illustrationen
  12. Securing the future
    funding health and social care to the 2030s
    Autor*in: Charlesworth, Anita; Firth, Zoe; Gershlick, Ben; Watt, Toby; Johnson, Paul; Kelly, Elaine; Lee, Tom; Stoye, George; Zaranko, Ben
    Erschienen: [2018]
    Verlag:  Institute for Fiscal Studies, London

    On 5 July this year the NHS will be 70. In all its 70 years it has rarely been far from the headlines. It has been through more than its fair share of reforms, crises and funding ups and downs. Over that period, the amount we spend on it has risen... mehr

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    On 5 July this year the NHS will be 70. In all its 70 years it has rarely been far from the headlines. It has been through more than its fair share of reforms, crises and funding ups and downs. Over that period, the amount we spend on it has risen inexorably. Yet, today, concerns about the adequacy of funding are once again hitting the headlines, as the health and social care systems struggle to cope with growing demand. Looking forward, funding pressures are only going to grow. The population is getting bigger and older, and expectations are rising along with the costs of meeting them. Our analysis suggests that UK spending on healthcare will have to rise by an average 3.3% a year over the next 15 years just to maintain NHS provision at current levels, and by at least 4% a year if services are to be improved. Social care funding will need to increase by 3.9% a year to meet the needs of an ageing population and an increasing number of younger adults living with disabilities. If the widely acknowledged problems with England’s social care system - of limited eligibility, low quality and the perceived unfairness of the current, uncapped, means test - did result in reform, spending on social care would need to increase at a faster rate. [...]

     
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    Beteiligt: Payne, Judith (HerausgeberIn)
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 9781911102991
    Weitere Identifier:
    hdl: 10419/201783
    Schriftenreihe: [IFS report] ; (R143)
    Umfang: 1 Online-Ressource (circa 189 Seiten), Illustrationen
  13. The impact of cuts to social care spending on the use of accident and emergency departments in England
    Autor*in: Crawford, Rowena; Stoye, George; Zaranko, Ben
    Erschienen: [2018]
    Verlag:  Institute for Fiscal Studies, London

    Recent years have seen substantial reductions in public spending on social care for older people in England. This has not only led to large falls in the number of people over the age of 65 receiving publicly funded social care, but also to growing... mehr

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    Recent years have seen substantial reductions in public spending on social care for older people in England. This has not only led to large falls in the number of people over the age of 65 receiving publicly funded social care, but also to growing concern about the potential knock-on effects on other public services, and in particular the National Health Service (NHS). In this paper, we exploit regional variation in the reductions in public funding for social care to examine the impact on Accident and Emergency (A&E) departments in NHS hospitals. We find that reductions in social care spending on people aged 65 and above have led to increased use of A&E services, both in terms of the average number of visits per resident and the number of unique patients visiting A&E each year. We estimate that the average cut to social care spending for the older population over the period (£375) led to an increase of 0.09 visits per resident, compared to a mean of 0.37 visits in 2009. The effects are most pronounced among people aged 85 and above. This has also led to a modest increase in the cost of providing A&E care, increasing A&E costs by an additional £3 per resident for each £100 cut in social care funding.

     
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    Weitere Identifier:
    hdl: 10419/200304
    Schriftenreihe: IFS working paper ; W18, 15
    Umfang: 1 Online-Ressource (circa 29 Seiten), Illustrationen
  14. Saving lives by tying hands
    the unexpected effects of constraining health care providers
    Autor*in: Gruber, Jonathan; Hoe, Thomas P.; Stoye, George
    Erschienen: March 2018
    Verlag:  National Bureau of Economic Research, Cambridge, MA

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    Schriftenreihe: Working paper series / National Bureau of Economic Research ; 24445
    Schlagworte: Krankenhausmanagement; Gesundheitspolitik; Notaufnahme; Zeit; Ärzte; Krankenhaus; England
    Umfang: 49 Seiten, Illustrationen
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  15. People or places?
    factors associated with the presence of domestic energy efficiency measures in England
    Autor*in: Leicester, Andrew; Stoye, George
    Erschienen: 2013
    Verlag:  Inst. for Fiscal Studies, London

    We use English household-level survey data from 1996 to 2010 to explore whether economic market failures play a significant role in explaining the presence of energy efficiency measures (loft insulation, cavity wall insulation and full double... mehr

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    We use English household-level survey data from 1996 to 2010 to explore whether economic market failures play a significant role in explaining the presence of energy efficiency measures (loft insulation, cavity wall insulation and full double glazing) in residential properties. There appears to be a limited role for credit constraints as proxied by income, receipt of means-tested benefits or educational attainment. Private renters are significantly less likely to own efficiency measures suggesting that failures in the landlord-tenant relationship in the private-rented sector are a key barrier to uptake. More broadly, we find that it is the characteristics of the dwelling rather than those of the occupants which are the most significant explanatory factors. Our results suggest that well-targeted policies to encourage take-up of efficiency measures could focus on private landlords, long-term owner occupiers, those in older properties and those using non-metered fuels as their main heating source. However, the key target groups vary across different efficiency measures.

     
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    hdl: 10419/91514
    Schriftenreihe: IFS working papers ; W13/14
    Umfang: Online-Ressource (39 S.), graph. Darst.
  16. Does GP practice size matter?
    GP practice size and the quality of primary care
    Autor*in: Kelly, Elaine; Stoye, George
    Erschienen: 2014
    Verlag:  Inst. for Fiscal Studies, London

    This report examines trends in the organisation of general practitioner (GP) practices in England between 2004 and 2010, and the relationship between practice size and two indicators of the quality of care: Quality and Outcomes Framework (QOF)... mehr

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    This report examines trends in the organisation of general practitioner (GP) practices in England between 2004 and 2010, and the relationship between practice size and two indicators of the quality of care: Quality and Outcomes Framework (QOF) scores; emergency in patient admissions for ambulatory care sensitive (ACS) conditions. We also examine the relationship between practice size and outpatient referral behaviour. There has been a substantial change in the organisation of GP practices overtime. There has been an increase in the average number of full-time equivalent (FTE) GPs in each practice, which rose from 3.6 in 2004 to 4.2 in 2010. The share of single-handed GP practices fell by a third, from 22% to15% over this period. These changes have resulted in a shift of registered patients towards larger practices. By 2010, 76% of those who were registered with a GP practice were registered with one that had more than three FTE GPs. This compares with a figure of 69% in 2004. Using data from 2010/11, all three indicators of quality that we examined show that smaller practices are associated with poorer quality in primary care services. The precise nature and size of this relationship vary across the different measures. There is a small, positive association between QOF scores and practice size. Single-handed practices have the lowest average (mean) QOF scores, while large practices (with more than six FTE GPs) achieve the highest average scores. For ACS admissions, there is some evidence that smaller practices perform worse, on average, than larger practices and are more likely to be among the worst performing. This precise relationship differs across different conditions. Across all the conditions studied, practices with more than six FTE GPs have lower admission rates on average than smaller practices. In the case of chronic conditions, single-handed practices are most likely to be among the poorest-performing practices. Practices with three or fewer FTE GPs are less likely to refer their patients for secondary care than larger practices. Single-handed practices are also lesslikely than larger practices to refer patients for treatment by independent sector providers (ISPs). However, there is substantial variation in the quality of care within the same practice size categories. This is particularly true for single-handed practices: despite the significant prevalence of poor performance among single-handed practices, many also provide high-quality care.

     
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    ISBN: 9781909463677
    Weitere Identifier:
    hdl: 10419/119791
    Schriftenreihe: IFS reports / Institute for Fiscal Studies ; R101
    Schlagworte: Ärzte; Betriebsgröße; Gesundheitsversorgung; Großbritannien
    Umfang: Online-Ressource (57 S.), graph. Darst.
  17. Progression of nurses within the NHS
    Autor*in: Stoye, George; Warner, Max
    Erschienen: [2024]
    Verlag:  Institute for Fiscal Studies, London

    In this report, we examine the career progression of nurses and other staff groups within the NHS Agenda for Change (AfC) pay framework in England over the decade between 2012 and 2021. We document differences in progression across pay bands between... mehr

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    In this report, we examine the career progression of nurses and other staff groups within the NHS Agenda for Change (AfC) pay framework in England over the decade between 2012 and 2021. We document differences in progression across pay bands between staff groups and within groups of nurses to provide important context when considering how - and why - the career progression of nurses needs to be reformed.

     
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    ISBN: 9781801031653
    Weitere Identifier:
    Schriftenreihe: IFS report ; R310
    Schlagworte: Health and social care; Employment; Labour supply and workforce; NHS; Healthcare
    Umfang: 1 Online-Ressource (circa 36 Seiten), Illustrationen
  18. Regional variation in earnings and the retention of NHS staff in Agenda for Change bands 1 to 4
    Autor*in: Stockton, Isabel; Stoye, George
    Erschienen: [2024]
    Verlag:  Institute for Fiscal Studies, London

    In this report, we use administrative payroll data from the Electronic Staff Record, combined with local earnings data from the Annual Survey of Hours and Earnings for the period between 2014 and 2019, to examine the correlation between leaving rates... mehr

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    In this report, we use administrative payroll data from the Electronic Staff Record, combined with local earnings data from the Annual Survey of Hours and Earnings for the period between 2014 and 2019, to examine the correlation between leaving rates for certain NHS staff groups and measures of local pay across different areas of England.

     
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    ISBN: 9781801031783
    Weitere Identifier:
    Schriftenreihe: IFS report ; R309
    Schlagworte: Health and social care; Healthcare; NHS; Labour supply and workforce; Public sector
    Umfang: 1 Online-Ressource (circa 19 Seiten), Illustrationen
  19. The past and future of UK health spending
    Autor*in: Stoye, George; Warner, Max; Zaranko, Ben
    Erschienen: [2024]
    Verlag:  Institute for Fiscal Studies, London

    Health spending, and the performance of the NHS, will feature prominently in the upcoming general election campaign. Many different factors matter for NHS performance and for the wider health of the population, but one important factor is the level... mehr

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    Health spending, and the performance of the NHS, will feature prominently in the upcoming general election campaign. Many different factors matter for NHS performance and for the wider health of the population, but one important factor is the level of spending on health services. In this IFS pre-election briefing, we examine UK government health spending over the past seven decades. We then discuss the outlook for health spending over the years to come.

     
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    ISBN: 9781801031806
    Weitere Identifier:
    Schriftenreihe: IFS report ; R312
    Schlagworte: Government finances and spending; Health and social care; Government spending; Health; Healthcare; NHS; Public finance; Public sector
    Umfang: 1 Online-Ressource (circa 36 Seiten), Illustrationen
  20. The IFS green budget
    February 2017
    Autor*in: Adam, Stuart; Amin-Smith, Neil; Beck, Martin; Campbell, Ross; Cribb, Jonathan; Emmerson, Carl; Goodwin, Andrew; Joyce, Robert; Luchinskaya, Daria; Miller, Helen; Norris Keiller, Agnes; Pope, Thomas; Sibieta, Luke; Simpson, Polly; Stoye, George; Sturrock, David; Talavera, Ángel; Waters, Tom; Wheatcroft, Martin
    Erschienen: [2017]
    Verlag:  Institute for Fiscal Studies, London

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    Beteiligt: Payne, Judith (HerausgeberIn); Emmerson, Carl (HerausgeberIn); Johnson, Paul (HerausgeberIn); Joyce, Robert (HerausgeberIn)
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 9781911102335
    Weitere Identifier:
    hdl: 10419/171988
    Übergeordneter Titel: The IFS green budget - Alle Bände anzeigen
    Schriftenreihe: IFS report / Institute for Fiscal Studies ; R124
    Schlagworte: Öffentlicher Haushalt; Wirtschaftslage; Großbritannien
    Umfang: 1 Online-Ressource (circa 312 Seiten), Illustrationen
    Bemerkung(en):

    Enthält 9 Beiträge
  21. The prevalence and dynamics of social care receipt
    Autor*in: Crawford, Rowena; Stoye, George
    Erschienen: [2017]
    Verlag:  Institute for Fiscal Studies, London

    The long-term care needs of the growing older population are increasingly important issues for policymakers and society as a whole. This report uses new data from the English Longitudinal Study of Ageing - a panel survey representative of the... mehr

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    The long-term care needs of the growing older population are increasingly important issues for policymakers and society as a whole. This report uses new data from the English Longitudinal Study of Ageing - a panel survey representative of the household population aged 50 and over in England with respondents being re-interviewed biennially - to examine the prevalence of social care and the changes to the needs and care receipt of individuals across time and between different birth cohorts.

     
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    Beteiligt: Payne, Judith (HerausgeberIn)
    Sprache: Englisch
    Medientyp: Ebook
    Format: Online
    ISBN: 9781911102298
    Weitere Identifier:
    hdl: 10419/171990
    Schriftenreihe: IFS report ; R125
    Umfang: 1 Online-Ressource (circa 69 Seiten), Illustrationen
  22. Public hospital spending in England
    evidence from National Health Service administrative records
    Autor*in: Kelly, Elaine; Stoye, George; Vera-Hernández, Marcos
    Erschienen: 2015
    Verlag:  Inst. for Fiscal Studies, London

    Health spending per capita in England has more than doubled since 1997, yet relatively little is known about how that spending is distributed across the population. This paper uses administrative National Health Service (NHS) hospital records to... mehr

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    Health spending per capita in England has more than doubled since 1997, yet relatively little is known about how that spending is distributed across the population. This paper uses administrative National Health Service (NHS) hospital records to examine key features of public hospital spending in England. We describe how costs vary across the lifecycle, and the concentration of spending among people and over time. We find that costs per person start to increase after age 50 and escalate after age 70. Spending is highly concentrated in a small section of the population: with 32% of all hospital spending accounted for by 1% of the general population, and 18% of spending by 1% of all patients. There is persistence in spending over time with patients with high spending more likely to have spending in subsequent years, and those with zero expenditures more likely to remain out of hospital.

     
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    Sprache: Englisch
    Medientyp: Buch (Monographie)
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    Weitere Identifier:
    hdl: 10419/145440
    Schriftenreihe: IFS working papers ; 15/21
    Umfang: Online-Ressource (25 S.), graph. Darst.
  23. New joints
    private providers and rising demand in the English National Health Service
    Autor*in: Kelly, Elaine; Stoye, George
    Erschienen: 2015
    Verlag:  Inst. for Fiscal Studies, London

    This paper investigates how changes in hospital choice sets affect levels of patient demand for elective hospital care. We exploit a set of reforms in England that opened up the market for publicly-funded patients to private hospitals. Impacts on... mehr

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    This paper investigates how changes in hospital choice sets affect levels of patient demand for elective hospital care. We exploit a set of reforms in England that opened up the market for publicly-funded patients to private hospitals. Impacts on demand are estimated using variation in distance to these private hospitals, within regions where supply constraints are fixed. We find that the reforms increased demand for publicly-funded procedures. For public hospitals, volumes remained unchanged but waiting times fell. Taken together, our results provide new insights into how individuals make choices about their care and the scope of competition between hospitals.

     
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    hdl: 10419/145441
    Schriftenreihe: IFS working papers ; 15/22
    Umfang: Online-Ressource (50 S.), graph. Darst., Kt.
  24. New joints
    private providers and rising demand in the English national health service
    Autor*in: Kelly, Elaine; Stoye, George
    Erschienen: 26 August 2016
    Verlag:  Institute for Fiscal Studies, London

    Reforms to public services have extended consumer choice by allowing for the entry of private providers. The aim is to generate competitive pressure to improve quality when consumers choose between providers. However, for many services new entrants... mehr

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    Reforms to public services have extended consumer choice by allowing for the entry of private providers. The aim is to generate competitive pressure to improve quality when consumers choose between providers. However, for many services new entrants could also affect whether a consumer demands the service at all. We explore this issue by considering how demand for elective surgery responds following the entry of private providers into the market for publicly funded health care in England. For elective hip replacements, we find that demand shifts account for at least 7% of public procedures conducted by private hospitals. These results are robust to instrumenting for location using the presence of existing healthcare facilities. Exploiting rarely used clinical audit data, we show that these additional procedures are not substitutions from privately funded procedures, and represent new surgeries, at least within a given year. The increase in volumes resulting from a demand shift improve consumer welfare, but impose fiscal costs, and do not contribute the original aim of the reforms to stimulate competition.

     
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    Weitere Identifier:
    hdl: 10419/173949
    Auflage/Ausgabe: This is an updated version of W15/22
    Schriftenreihe: IFS working paper ; W16, 15
    Umfang: 1 Online-Ressource (circa 49 Seiten), Illustrationen