Targets and waiting times

Targets and waiting times: exploiting a quasi-experiment to evaluate the use of targets in the provision of health care in the UK

Investigators

Windmeijer, F., Propper, C. (University of Bristol) and Sutton, M.(HERU)

Summary

The aim of the research was to exploit the divergence in policy between the two countries: pre-devolution both countries had targets, post-devolution Scotland concentrated on other priorities. This was used as a natural experiment to assess the impact of targets on the behaviour of NHS hospitals in the two countries.

Two outputs were examined: waiting times and activity levels. In contrast to most other analyses of this issue, disaggregate (patient level) data were used for both Scotland and England. Behaviour with respect to targeted and non-targeted activities was examined. Finally, the estimates from the research were used to make an assessment of the net effect of this policy on patient welfare. The results showed that targets led to a fall in waiting times without apparent reductions in other aspects of patient care.

Contact

D Skåtun

Status

Complete

Publications

Propper, C., Sutton, M.,Whitnall, C. and Windmeijer, F. Did `Targets and Terror' Reduce Waiting Times in England for Hospital Care? The B.E. Journal of Economic Analysis and Policy. 2008; 8(2): 5.

Presentations

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. ‘Did ‘Targets and Terror’ Reduce Waiting Times in England for Hospital Care?’ HESG,Norwich, January 2008.

Windmeijer, F. (Sutton, M. a member of the team) “Did ‘targets and terror’ Reduce English Waiting Times for Elective Hospital Care?” The Centre for Market and Public Organisation. London, May 2008.

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. ‘Did ‘Targets and Terror’ Reduce Waiting Times in England for Hospital Care?’ iHEA. Copenhagen July 2007.

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. Incentives and Targets in Hospital Care: Evidence from a Natural Experiment. iHEA.Beijing, July 2009.

Windmeijer, F., Propper, C. and Sutton, M. Impact of targets: NHS waiting times. Economics and Social Research Council (ESRC) Public Services Programme: Quality, Performance and Delivery. Edinburgh, October 2006.

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. ‘Did ‘Targets and Terror’ Reduce Waiting Times in England for Hospital Care?’ Centre for Market and Public Organisation (CMPO) Bristol, November 2007

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. ‘Did ‘Targets and Terror’ Reduce Waiting Times in England for Hospital Care?’ Tinbergen Economics. Amsterdam, June 2008.

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. Incentives and Targets in Hospital Care: Evidence from a Natural Experiment. Health Economics Research Centre. University of Oxford. May 2009.

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. Incentives and Targets in Hospital Care: Evidence from a Natural Experiment. Centre for Health Economics. University of York. June 2009.

Propper, C., Sutton, M., Whitnall, C. and Windmeijer, F. Incentives and Targets in Hospital Care: Evidence from a Natural Experiment. European Workshop in Econometrics and Health Economics. University of Coimbra, Portugal. September 2008.