BMJ  2008;336:421-424 (23 February), doi:10.1136/bmj.39470.505556.80

Analysis

Independent sector treatment centres: evidence so far

Allyson M Pollock, professor of international public health policy, Sylvia Godden, senior research fellow

1 Centre for International Public Health, University of Edinburgh, Edinburgh EH8 9AG

Correspondence to: A M Pollock allyson.pollock@ed.ac.uk

The government plans to continue using NHS funds to contract with commercial healthcare providers in the second phase of the independent sector treatment centre programme, but Allyson M Pollock and Sylvia Godden argue that no good evidence is available to support this policy

The first 150 words of the full text of this article appear below.


Using NHS funds to deliver NHS clinical services via the private sector lacks evidence and has not been evaluated
Data to support government claims that independent sector treatment centres offer high productivity, high quality health care, or value for money are lacking
Such centres are meant to provide extra capacity and staff, but 23 000 NHS beds in England have closed and many NHS clinical staff have transferred to the private sector since their introduction
Patients’, lawyers’, and professional bodies’ concerns over quality and safety are being ignored by government


The policy of the Department of Health in England is to use NHS funds to contract with for-profit multinational healthcare corporations to deliver clinical services. One controversial aspect of this policy is the independent sector treatment centre programme, which over the course of two phases (waves) will provide elective surgery and other services at a total cost of over £5bn . . . [Full text of this article]


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This article has been cited by other articles:

  • Pollock, A. M, Kirkwood, G. (2009). Independent sector treatment centres: learning from a Scottish case study. BMJ 338: b1421-b1421 [Full text]  

Rapid Responses:

Read all Rapid Responses

Some evidence of quality of care exists
Nick Black
bmj.com, 22 Feb 2008 [Full text]
Scottish Regional Treatment Centre, Stracathro Hospital, Angus
John R Evans, et al.
bmj.com, 22 Feb 2008 [Full text]
When will we be shown the whole picture?
Hendrik J Beerstecher
bmj.com, 23 Feb 2008 [Full text]
Confuse and Conceal
Wendy D Savage
bmj.com, 3 Mar 2008 [Full text]
Further still than ISTCs
Andrew N Bamji
bmj.com, 4 Mar 2008 [Full text]



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