© Institute for Fiscal Studies and Nuffield Trust, 2012November 2012

Evaluating the impact of patient choice on place of careThe effect of patient choice on treatment location in England, 2003–2011

Elaine Kelly and Gemma Tetlow

Understanding competition and choice in the NHS

© Institute for Fiscal Studies and Nuffield Trust, 2012

Choosing the place of care

• Health and Social Care Act paves way for more competition and market mechanisms

• Understanding Competition and Choice in the NHS: three-year joint Nuffield Trust/IFS research programme

• Choosing the Place of Care is first output from the programme

• Examines the effect of patient choice and independent sector treatment centres on treatment location in England, 2003–2011

Distribution of selected elective procedures across provider types by year, 2003/04 to 2010/11

Change in the percentage admitted to each provider type for elective procedures, relative to 2003/04, by procedure

Number of procedures conducted by ISTCs, 2003/04 to 2010/11

Number of ISTC sites in operation, 2003/04 to 2010/11

Cumulative distribution of GP practice-level concentration for providers used for outpatient referrals by year, 2006/07 to 2010/11

Cumulative distribution of GP practice-level concentration for providers used for outpatient referrals to NHS trusts, 2006/07 to 2010/11

© Institute for Fiscal Studies and Nuffield Trust, 2012

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© Institute for Fiscal Studies and Nuffield Trust, 2012

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