Keith Palmer

Further Papers on Health Policy and Management

Acute Sector Deficits in SE London
The paper analyses the financial position of the six acute trusts in SE London assuming there is no reconfiguration of acute services. It summarises extensive analysis which can be made available separately to the Project Board, April 2007.
Download 'Acute Sector Deficits in SE London' paper (pdf 0.39mb)

Regulation and System Management of the new NHS - Proposed Architecture
The paper suggests a framework for quality and economic regulation of healthcare in the reformed NHS in England. Submission to the Currie review of healthcare regulation in England, 2005.
Download 'Regulation and System Management of the new NHS - Proposed Architecture' paper (doc 0.09mb)

Financial performance management of Foundation Trusts
The paper sets out a framework for planning and delivery of improved financial performance by Foundation Trusts. Presented at a seminar at the King's Fund, February 2004.

The financial management of Foundation Trusts -- drawing on best practice
Invited presentation to the first wave Foundation Trust Finance Directors, 2003.

Foundation Trusts and the new NHS Architecture
The paper argues that Foundation Trusts must be granted the operational and financial freedoms necessary for them to be able to respond effectively to the new reforms and thereby improve the quality and increase the quantity of patient care. CEPA discussion paper, 2002.
Download 'Foundation Trusts and the new NHS Architecture' paper (pdf 0.36mb)

Economic Regulation of the Health System in England
A submission to the Currie review of healthcare regulation in England, 2005. The paper suggests a framework for quality and economic regulation of healthcare in the reformed NHS in England.
Download 'Economic Regulation of the Health System in England' paper (doc 0.08mb)


Private Public Partnerships in health

Final services contracting in the NHS: Piloting a new approach to health PPP
The paper argued for a new type of ‘final services’ contract whereby the Department of Health would contract the provision of patient services rather than intermediate services via PFI schemes. Presentation to the Department of Health, 2002.
Download 'Final services contracting in the NHS: Piloting a new approach to health PPP' paper (ppt 0.06mb)

Horses for courses in health PPP
The paper argued that PFI schemes are more appropriate in some circumstances than others, and in particular are least appropriate for hospital services because the contractual interface between the facilities management provider and clinical services providers is complex and subject to regular change. Presentation to a conference on PPPs in health, 2002.
Download 'Horses for courses in health PPP' paper (ppt 0.04mb)


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