Alan Garber: NHS competition, integration & incentives


Published: 20/07/2011

Professor Alan Garber, Provost of Harvard University, talks to Nuffield Trust Chief Executive Dr Jennifer Dixon about the progress of reform in the NHS in England and how to achieve the right balance of competition, integration and incentives.

With NHS England (formally the NHS Commissioning Board) to be charged with altering payment mechanisms within the health service, Professor Garber outlines what he considers should be their main priorities, and based on the US experience the extent to which the NHS should be experimenting with service bundling or full capitation.

Professor Garber goes on to emphasise the importance of getting incentives right for the successful development of accountable care organisations (ACOs) in the US and clinical commissioning groups (CCGs) in England, and explains how in a variable price market in the US it is ensured that ACOs compete on quality rather than price.

Professor Garber is the current Nuffield Trust Rock Carling Fellow – a Fellowship that was established in memory of the late Sir Ernest Rock Carling.

Professor Garber delivered his Rock Carling lecture at the Nuffield Trust’s annual reception in July 2011.