The use of postmenopausal hormone replacement therapy (HRT) has received much attention both in the medical and lay press in recent years. There is considerable pressure to extend the use of HRT both as a method for relieving the distressing symptoms of menopause and also as a prophylactic...

The total number of nursing and midwifery staff rose by 17 per cent from 1976 to 1982. The aim of this paper is to provide a detailed analysis of what this substantial investment actually meant in terms of grades, types of hospital and region. Total numbers in the general hospitals rose by 24...

This paper consists of the report of an option appraisal. It is exactly in the form in which it was presented to the Management Team and the Authority in the DIstrict to which it relates. The only changes are that ficticious names have been substituted for the originals to maintain anonymity....

We report estimates of output growth for the National Health Service in England over the period 2003/4 to 2006/7. Our output index is virtually comprehensive, capturing as far as possible all the activities undertaken for NHS patients by both NHS and non-NHS providers across all care settings....

The objective of this paper is to set out the key findings and implications from an analysis of the activity and workload of nurses of different grades. This is with a view to identifying nursing skill mixes and working practices that may reduce workforce demand for more highly skilled nursing...

This report describes preliminary results from research funded by the Health Foundation under its Quest for Quality and Improved Performance (QQuIP) initiative.

We investigate the impact of area general practitioner (GP) supply on individual health in England. If no allowance is made for the endogeneity of GP supply, the effect is positive but not statistically significant. When GP supply is instrumented by age related capitation the effect is markedly...

This is a follow-up paper arising from a World Health Organisation meeting which was held in Disley (near Manchester) in England in September 1984. The original paper for that conference (Maynard (1984)) was revised as a result of comments perceived at the Disley meeting and circulated to...

In a recently published monograph of the INstitute of Economic Affairs by Dr David Green entitled Which Doctor?, the argument is made that the ills of the NHS can all at root be laid at the door of one professionally regulated froup: the doctors, and that, if only this encumbrance could be...

There has been a vigorous dispute about quality adjusted life years (QALYs) and it has been argued that they are an inappropriate measure of patient utility and that a more efficient approach is to measure outcomes in terms of health year equivalents (HYEs). This paper explores the theoretical...