Association between the 2012 Health and Social Care Act and specialist visits and hospitalisations in England: A controlled interrupted time series analysis

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Lopez Bernal, JA, Lu, CY, Gasparrini, A, Cummins, S, Wharham, JF and Soumerai, SB. 2017. Association between the 2012 Health and Social Care Act and specialist visits and hospitalisations in England: A controlled interrupted time series analysis. [Online]. Figshare. Available from: - https://doi.org/10.1371/journal.pmed.1002427

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The 2012 Health and Social Care Act (HSCA) in England led to among the largest healthcare reforms in the history of the National Health Service (NHS). It gave control of £67 billion of the NHS budget for secondary care to general practitioner (GP) led Clinical Commissioning Groups (CCGs). An expected outcome was that patient care would shift away from expensive hospital and specialist settings, towards less expensive community-based models. However, there is little evidence for the effectiveness of this approach. In this study, we aimed to assess the association between the NHS reforms and hospital admissions and outpatient specialist visits. e conducted a controlled interrupted time series analysis to examine rates of outpatient specialist visits and inpatient hospitalisations before and after the implementation of the HSCA. We used national routine hospital administrative data (Hospital Episode Statistics) on all NHS outpatient specialist visits and inpatient hospital admissions in England between 2007 and 2015 (with a mean of 26.8 million new outpatient visits and 14.9 million inpatient admissions per year). As a control series, we used equivalent data on hospital attendances in Scotland.

Published in a 3rd party system Date: 14 November 2017
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Data Creators(s): Lopez Bernal, JA, Lu, CY, Gasparrini, A, Cummins, S, Wharham, JF and Soumerai, SB
LSHTM Faculty/Department: Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Participating Institutions: London School of Hygiene & Tropical Medicine, London, United Kingdom, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, United States of America

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