Can the NHS cut costs without substantially damaging the quality of health care? No
BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c1959 (Published 14 April 2010) Cite this as: BMJ 2010;340:c1959- John Appleby, chief economist
- 1King’s Fund, London W1G 0AN
- j.appleby{at}kingsfund.org.uk
It would not be credible to argue that, in a multibillion pound business, opportunities to improve efficiency do not exist, or that any reduction in the costs of production will inevitably lead to corners being cut and quality of care suffering. But the productivity challenge for the NHS is daunting.
Belt tightening starts this year for the English NHS with a real rise in funding of just 1.6%.1 This will be the smallest increase for 14 years and around a quarter of the average annual real increases since …
Log in
Log in using your username and password
Log in through your institution
Subscribe from £157 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£30 / $37 / €33 (excludes VAT)
You can download a PDF version for your personal record.