Intended for healthcare professionals


Hospital bed utilisation in the NHS and Kaiser Permanente

BMJ 2004; 328 doi: (Published 04 March 2004) Cite this as: BMJ 2004;328:582

Bed management in the NHS can be improved easily

  1. Stephen Black, principal consultant (,
  2. Nathan Proudlove, lecturer in operational research
  1. PA Consulting, London SW1W 9SR
  2. Manchester School of Management, University of Manchester Institute of Science and Technology, Manchester M60 1QD

    EDITOR—The comparison by Ham et al of bed utilisation in the NHS and Kaiser Permanente indicates that the NHS could improve its management of beds drastically but leaves open the possibility that it could be expensive in effort and money to reach the degree of efficiency at Kaiser.1 However, a body of direct evidence from other statistics in the NHS already shows that large improvements are possible and likely to be cheap …

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