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

B-Tier
Journal: Health Economics
Year: 2017
Volume: 26
Issue: 12
Pages: e126-e139

Authors (3)

Graham Cookson (not in RePEc) Simon Jones (not in RePEc) Ioannis Laliotis (University of Patras)

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

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.

Technical Details

RePEc Handle
repec:wly:hlthec:v:26:y:2017:i:12:p:e126-e139
Journal Field
Health
Author Count
3
Added to Database
2026-01-25