How can the power of competition and integration be combined to drive greater efficiency and high quality care?

This Nuffield Trust and Monitor partnership roundtable explored how the use of competition can be combined with greater integration to enable health systems to deliver cost-effective, high quality care for patients.

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The Nuffield Trust and Monitor hosted an invitation-only partnership roundtable that brought together health leaders in England and the US to explore how the use of competition can be combined with greater integration to enable health systems to deliver cost-effective, high quality care for patients.

The Government has responded to the report of the Future Forum by introducing a series of amendments to the Health and Social Care Bill that will help ensure services in the NHS in England are joined-up and working in the interests of patients, while competing for their choice.

The reforms are designed to help the NHS respond to the twin challenge of improving health outcomes in the face of ageing populations and increasing numbers of patients with long-term chronic disease, and the need to deliver improved efficiency to manage cost pressures – a challenge shared by the US health system.

To explore these issues in detail, the Nuffield Trust and Monitor brought together 50 leading policy-makers, practitioners, regulators and academics from the US and UK to examine how the power of markets and the patient focus on integration can be combined to achieve system-wide improvement.

The roundtable was chaired by Simon Stevens. Our keynote speakers included:

  • Dr David Bennett, Chair and Interim Chief Executive, Monitor; 
  • Sonia Brown, Chief Economist, Monitor;
  • Professor Michael Chernew, Professor of Health Care Policy, Harvard Medical School; 
  • Dr Zack Cooper, Health Economist, Centre for Economic Performance, London School of Economics; 
  • Professor Paul Corrigan, Independent Consultant; 
  • Dr Jennifer Dixon, Chief Executive, Nuffield Trust;
  • Professor H.E. Frech III, Professor of Economics, University of California, Santa Barbara;
  • Richard Murray, Chief Economist, Department of Health;
  • Professor Carol Propper, Professor of Economics and Public Policy, London School of Economics.