What is it about?
This study demonstrates that both statistical and environmental volatility create highly volatile year-to-year differences in health care activity and costs. This is imposed on top of a set of poorly understood cycles in cost which generate a recurring series of surplus/deficit.
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Why is it important?
In England, no recognition has been given to the role of volatility in the financial performance of NHS organisations. They are simply blamed for failure, when the real blame lies on the refusal of government agencies to acknowledge that reality is contradictory to policy.
Perspectives
Part of an extended series of studies investigating multiple sources of volatility in health care activity and costs, see http://www.hcaf.biz/2010/Publications_Full.pdf A 4-Part series in Journal of Health Care Finance winter 2021 has updated these concepts http://www.healthfinancejournal.com/~junland/index.php/johcf/index
Dr Rodney P Jones
Healthcare Analysis & Forecasting
Read the Original
This page is a summary of: Time to re-evaluate financial risk in GP commissioning, British Journal of Healthcare Management, January 2012, Mark Allen Group,
DOI: 10.12968/bjhc.2012.18.1.39.
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