What is it about?
Analysis of the trends in programme budgeting costs in English Primary Care Organisations between 2003/04 and 2008/09 shows evidence for a step-like increase around 2007/08 which is unrelated to funding. Particular cost categories such as HIV/AIDS, a number of cancers, disorders of the blood, diabetes, etc all showed a large increase.
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Why is it important?
The evidence is that these increases displayed spatial spread across England. Similar step-like increases has since been demonstrated in 2010, 2012, 2014 and 2016, which once-again are not due to changes in funding.
Perspectives
The Department of Health in England (now NHS England) is seemingly unable to acknowledge any study which conflicts with a policy-centric view of how health care costs are supposed to behave. This is part of a very long series of studies all confirming that a fundamentally important event keeps reoccurring. It is seemingly easier to blame the NHS for financial 'failure' than to admit that policy may be at variance with reality, see http://www.hcaf.biz/2010/Publications_Full.pdf
Dr Rodney P Jones
Healthcare Analysis & Forecasting
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This page is a summary of: Trends in programme budget expenditure, British Journal of Healthcare Management, November 2010, Mark Allen Group,
DOI: 10.12968/bjhc.2010.16.11.79645.
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