Cancelled Procedures in the English NHS: Evidence from the 2010 Tariff Reform

Summary This paper explores the role of incentives in the English National Health Service. Until financial year 2009/2010, elective procedures that were cancelled after admission received a fixed reimbursement associated with a specific healthcare resource group code. We investigate whether this ind...

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Bibliographic Details
Published in:Health economics 2017-12, Vol.26 (12), p.e126-e139
Main Authors: Cookson, Graham, Jones, Simon, Laliotis, Ioannis
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
cancelled procedures
Child
Child, Preschool
Costs and Cost Analysis - statistics & numerical data
Elective Surgical Procedures - economics
Elective Surgical Procedures - statistics & numerical data
English NHS
Female
Financial incentives
Health care
Health Care Reform - organization & administration
Health Care Reform - statistics & numerical data
Health economics
Health services
Humans
incentives
Infant
Infant, Newborn
Male
Materials management
Middle Aged
Models, Statistical
Patient admissions
reforms
Reimbursement, Incentive - economics
Reimbursement, Incentive - statistics & numerical data
State Medicine - organization & administration
State Medicine - statistics & numerical data
Tariffs
Time series
United Kingdom
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Summary:Summary This paper explores the role of incentives in the English National Health Service. Until financial year 2009/2010, elective procedures that were cancelled after admission received a fixed reimbursement associated with a specific healthcare resource group code. We investigate whether this induced trusts to admit and then cancel, rather than cancel before admission and/or to cancel low fee over high fee work. As the tariff was ended in April 2010, we conduct an interrupted time series analysis to examine if their behaviour was affected after the tariff removal. The results indicate a small, yet statistically significant, decline in the probability of a last minute cancellation in the post‐tariff period, especially for certain types of patients and diagnoses. Copyright © 2017 John Wiley & Sons, Ltd.
ISSN:1057-9230
1099-1050
DOI:10.1002/hec.3486