Evaluating the impact of choice on place of care

© Institute for Fiscal Studies and Nuffield Trust, 2012November 2012

Evaluating the impact of patient choice on place of care

Elaine Kelly and Gemma Tetlow

Understanding competition and choice in the NHS

© Institute for Fiscal Studies and Nuffield Trust, 2012

Choosing the place of care

• The Health and Social Care Act paves way for more competition and market mechanisms

• Understanding Competition and Choice in the NHS: three-year joint Nuffield Trust/IFS research programme

• Choosing the Place of Care is first output from the programme

• Examines the effect of patient choice and Independent Sector Treatment Centres (ISTCs) on treatment location in England, 2003–2011

Distribution of selected elective procedures across provider types by year, 2003/04 to 2010/11

Change in the percentage admitted to each provider type for elective procedures, relative to 2003/04, by procedure

Number of procedures conducted by ISTCs, 2003/04 to 2010/11

Number of ISTC sites in operation, 2003/04 to 2010/11

Cumulative distribution of GP practice-level concentration for providers used for outpatient referrals by year, 2006/07 to 2010/11

Cumulative distribution of GP practice-level concentration for providers used for outpatient referrals to NHS trusts, 2006/07 to 2010/11

© Institute for Fiscal Studies and Nuffield Trust, 2012

For more information about the Nuffield Trust, including details of our latest research and analysis, please visit www.nuffieldtrust.org.uk

For more information about the Institute for Fiscal Studies, please visit www.ifs.org.uk

© Institute for Fiscal Studies and Nuffield Trust, 2012

The Institute for Fiscal Studies is the UK's leading microeconomic research institute, aiming to promote effective economic and social policies.

The Nuffield Trust is an authoritative and independent source of evidence-based research and policy analysis for improving health in the UK.