Keith Palmer
Recent Papers on Health Policy and Management
Reconfiguring Hospital Services published by the Kings Fund March 2011.
The paper considers the quality of care and financial impacts of proposals to reconfigure hospital services in south-east London; and draws out lessons for the rest of the NHS in England about the merits of hospital reconfiguration as a means of driving up quality and driving down costs.
Download 'Reconfiguring Hospital Services published by the Kings Fund March 2011.' paper (pdf 0.82mb)
Using the NHS reforms to deliver sustained quality improvement
The paper explains why the reform instruments in place at that time would not deliver sustained quality improvement and suggested modifications of the policy instruments to more effectively drive sustained quality improvement.
Paper presented at the King's Fund, May 2008.
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Sunk Estate, February 2008
The paper considers how payment by results affects the affordability of PFI hospitals and suggests reform of capital costs funding
Published in Healthcare Finance
Download 'Sunk Estate, February 2008' paper (pdf 2.6mb)
SE London service redesign and sustainability project -- lessons from London? Policy issues
The paper addresses the clinical and financial issues arising from reconfiguration of acute services in SE London and seeks to draw wider policy implications.
Download 'SE London service redesign and sustainability project -- lessons from London? Policy issues' paper (pdf 0.03mb)
Analysis of the causes of the Queen Elizabeth NHS hospital trust deficit
The paper analyses the causes of the financial deficits at Queen Elizabeth Woolwich NHS trust and shows that than half of the underlying deficit is caused by underfunding of PFI related capital costs in PbR tariffs. CEPA briefing paper December 2006
Download 'Analysis of the causes of the Queen Elizabeth NHS hospital trust deficit' paper (pdf 0.33mb)
NHS Reform: getting back on track
The paper argues that perverse incentives built into the reform instruments will prevent achievement of the government's healthcare objectives and proposes modifications to the reform instruments which, if adopted, would improve the likelihood that those objectives are achieved. Kings Fund discussion paper, October 2006
Download 'NHS Reform: getting back on track' paper (pdf 0.31mb)
Public private partnerships for the delivery of healthcare services in developing countries
The paper argues that the PPP approach to the development of non-hospital healthcare infrastructure and services in the UK (LIFT) could be applied - suitably adapted - to improve access and quality of heathcare services in some developing countries. Contact Cambridge Economic Policy Associates for more information.
http://www.cepa.co.uk/contact_us.html
How should we deal with hospital failure? Facing the challenges of the new NHS market
The paper considers the issues surrounding failing NHS hospitals and sets out ways that hospital failure could be dealt in the NHS. Kingsfund discussion paper, December 2005.
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NHS Reform: Will it deliver the desired health outcomes?
The paper explains why the interaction of the NHS reform instruments work to inhibit progress towards achieving the government's healthcare objectives and proposes enhancements to the former instruments that would improve patient outcomes. Paper presented at a Kings Fund seminar, March 2005.
Download 'NHS Reform: Will it deliver the desired health outcomes?' paper (pdf 0.42mb)
The Causes of the Queen Elizabeth Woolwich Hospital Trust Deficit
Discussion Paper by CEPA, Keith was lead author. The paper shows the link between the QE deficit and unfunded costs associated with the whole-hospital PFI scheme.
Download 'The Causes of the Queen Elizabeth Woolwich Hospital Trust Deficit' paper (pdf 0.33mb)
Competition in a Commissioner-Led NHS
Presentation to Healthcare Finance Managers Association (HFMA) annual meeting, July 2007.
Download 'Competition in a Commissioner-Led NHS' paper (ppt 0.14mb)
Further papers on Health Policy and Management