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...

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...

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...

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...

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...

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...

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...

A common reform used to increase consumer choice and competition in public services has been to allow private providers to compete with public incumbents. However, there remains a concern that not all consumers are able to benefit equally from wider choice. We consider the case of publicly...

This paper examines the impact of in utero exposure to the Asian influenza pandemic of 1957 upon physical and cognitive development in childhood. Outcome data is provided by the National Child Development Study (NCDS), a panel study of a cohort of British children who were all potentially...

We examine how the length of parental leave and rates of progression after having children vary by specialty, gender and other staff characteristics.