What are business models within the NHS?
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The National Health Service (NHS) has evolved into a complex system involving market reforms, leading to the adoption of various business models. The NHS has implemented a new operating model for procurement, emphasizing centralization and strategic supply chain management to generate savings for frontline healthcare services . Additionally, the NHS has transformed into a mix of national and private organizations competing to provide services, reflecting a more business-like approach influenced by consumer culture . Governance models within the NHS have shifted through Hippocratic, Managerial, and Commercial approaches, aiming to address failings in patient care and improve system effectiveness . Furthermore, the NHS has turned to business models of performance management to enhance quality of care, although alignment issues and capacity constraints remain to be resolved .
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| Papers (5) | Insight |
|---|---|
3 Citations | Business models in the NHS involve streamlining staffing structures to fit budgets, impacting productivity. Proposed changes aim to enhance productivity by introducing a new model. |
108 Citations | Performance management based on business models is being implemented in the NHS to enhance quality. It involves aligning managerial instruments, providing clarity, and ensuring ample capacity for effective implementation. |
| Three models of NHS governance are the Hippocratic, Managerial, and Commercial models, each with unique risks and benefits in managing healthcare as a commodity. | |
41 Citations | The NHS has evolved into a consumer-driven market, with private and state-run organizations competing to provide healthcare services under the NHS brand, reflecting a business-like approach in healthcare provision. |
| Centralisation of procurement in the English NHS through the new operating model (NOM) involves complex contractual governance structures, aiming to enhance oversight and accountability mechanisms within the supply chain. |
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