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Higher spending in Scotland fails to deliver better outcomes

BMJ 2010; 340 doi: (Published 14 June 2010) Cite this as: BMJ 2010;340:c3170
  1. Bryan Christie
  1. 1Edinburgh

    Health outcomes in Scotland have shown no improvement over those in England despite higher spending and almost a third more staff, reports an analysis of NHS performance.

    Spending in Scotland per head of population is the highest in the United Kingdom and in recent years has run 12% to 16% higher than in England. Scotland has argued for extra resources because of its higher death rates, high levels of deprivation, and scattered population.

    The report from the Centre for Public Policy in the Regions (CPPR) and the auditors KPMG, however, found no evidence that this extra money has delivered better outcomes or higher …

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