Wednesday, 12 February 2014

Monitor's GP services Discussion Document: a window on underlying tensions?

This publication slipped out late Friday afternoon, with no press release and a sole tweet to announce its presence. Monitor's "" on GP services follows a much louder call for ev…


Sunday, 02 February 2014

Pathology consolidation and the OFT's UCLH/Royal Free/TDL decision

Pathology has, for several years now, been identified as an area in the NHS where the reconfiguration of existing services, and the establishment of larger scale operations that serve multiple hospit…


Friday, 17 January 2014

Procurement vs. Competition - A Quick Guide

Procurement and competition are, often understandably, lumped together when a discussion turns to competition in the NHS. This can cause confusion though.

For example, the other day Norman Lamb, a…


Tuesday, 14 January 2014

Improving service quality: incentives versus promises

As I think we now know, weighing up the costs and benefits of a hospital merger is both difficult and controversial.

If it makes anyone feel any better, Leemore Dafny's article in December's


Friday, 13 December 2013

Financial penalties for Competition Act breaches

Today's reports on the fines that the (OFT) has imposed on two pharmacy companies ( and ) for breaching the .

The t…


Sunday, 01 December 2013

The NHS mandate: lessons from history

As someone who started their UK career in utilities regulation before moving on to competition and healthcare, I have always been struck by the parallels between the British utilities (railways, tele…


Friday, 22 November 2013

Partnerships, Prime Contracting and NHS Commissioning Rules

Prime Contracting and Alliance Contracting are gaining momentum across the NHS as commissioners look for new means of integrating care, paying for outcomes rather than processes, achieving efficienci…


Wednesday, 06 November 2013

Cancer Services in Manchester

Last week Monitor published a  in relation to the complaint by South Manchester FT and Stockport FT about the commissioning of cancer surgery services in Greater Manchester.

A…


Thursday, 31 October 2013

NHS Regulation: A Case for Integration?

This week Policy Exchange held an interesting panel discussion chaired by Sean Worth and with contributions from Stephen Dorrell MP, Sonia Sodha (Which?), Neil Bacon (I Want Great Care) and Steve Mel…


Sunday, 06 October 2013

Is the Merger Control Regime Too Burdensome for the NHS?

A number of  in recent weeks about the burden placed on NHS organisations of complying with the merger control regime administered by the 

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