NHS Reform

NHS Reform, Economic Incentives, and Provider Performance

Keywords: health economics, health policy, incentives, competition, productivity, efficiency, quality

Principal Investigator: Professor Alistair McGuire

Deputy PI: Dr Matthew Skellern

Researchers: Alistair McGuire, Matthew Skellern, Jose-Luis Fernandez, Maria Raikou, Laia Maynou, Victoria Serra-Sastre, Irene Papanicolas, Edward Pinchbeck, Stephen Gibbons, Rocco Friebel, Georgia Troutman

Start Date: 01 April 2009

End Date: 24 June 2022

Region: Europe

Countries: United Kingdom


This wide-ranging research programme led by Professor Alistair McGuire and Dr Matthew Skellern examines the impact of NHS policy reforms over the last two decades on the economic incentives faced by health care providers, and the conseqeuent impacts of these reforms on provider productivity, efficiency, and care quality. The research programme is a collaboration between researchers from LSE Health, the Care Policy and Evaluation Centre (CPEC) and the LSE Research Laboratory (RLAB), which includes the LSE Centre for Economic Perofrmance (CEP).


This research programme uses patient-level NHS data securely stored on the LSE Secure Health Data Server (LSHDS) to pursue the following objectives:

  1. To assess the impact that various aspects of policy development in the NHS have had on patient outcomes, waiting times, and provider behaviour.
  2. To compare health care system performance across countries with the aim of spreading best practice, with specific focus on lessons that can be learnt for health and social care in this country.
  3. To develop and analyse a range of multi-dimensional indicators of health care quality and outcomes.
  4. To examine the link between population level exposures to environmental shocks and health outcomes.


This research programme has led to numerous publications in high-quality academic journals including the Economic Journal, the Journal of Public Economics and the Journal of Health Economics. Its findings have been widely cited in government reports and policy documents, as well as being cited in parliamentary debates about NHS reform.

This wide-ranging research programme...examines the impact of NHS policy reforms over the last two decades

Check back later for our latest Twitter updates.

Contact us


LSE Health, Cowdray House, London School of Economics and Political Science, Houghton Street, London WC2A 2AE

Follow us