Managing activity and expenditure in the new NHS market

Russell Mannion*, Andrew Street

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


The English National Health Service is introducing 'Payment by Results' so that hospitals are paid according to the activity they undertake. This should encourage hospitals to increase activity but perhaps to unaffordable levels. Drawing on interviews with NHS staff and documentary evidence, the authors examine local strategies to manage activity and NHS expenditure. These alone cannot be relied upon to control expenditure, and payments themselves should be modified.

Original languageEnglish
Pages (from-to)27-34
Number of pages8
JournalPublic Money and Management
Issue number1
Publication statusPublished - Jan 2009
Externally publishedYes

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