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

Dr David Bennett, Chair and Interim Chief Executive at Monitor, on Monitor’s role in promoting competition and the integration of health care services
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, President of Global Health at UnitedHealth Group, and former health adviser to Prime Minister Tony Blair. Our keynote speakers included:
Talks from this partnership roundtable, including video interviews with keynote speakers and downloadable presentations, are available to access now from the right-hand column of this page - use the arrow buttons on each block to scroll through the video and slideshow content.
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