Intended for healthcare professionals


Abolishing purchaser-provider split helped New Zealand scheme to cut costs, says King’s Fund

BMJ 2013; 347 doi: (Published 12 September 2013) Cite this as: BMJ 2013;347:f5503
  1. Gareth Iacobucci
  1. 1BMJ

A pioneering integrated healthcare scheme in New Zealand has improved the care of patients while reducing demand on hospital services, a new report has concluded.

The report from the UK health think tank the King’s Fund analysed the effects of the large scale project in the Canterbury region to inform the drive towards greater integration in the NHS in England.1

The project was launched in 2007 in response to rising hospital admissions and waiting times and to a population that was ageing more rapidly than in other parts of New Zealand and other developed countries. Its aim was to create a “one system, one budget” approach to health and social care, together with sustained investment in training, support for staff to innovate, and new forms of contracting, including abolition of the split between healthcare service …

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