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NHS Reforms at University College London Hospital (pdf)
Roger Hay, Jerrett Myers & Tim Ensor

The effects of the NHS reforms on clinical activity and productivity have been subject of much
academic and practitioner investigation. This paper complements other recent studies by telling the
story of the reforms from `inside’ one NHS Hospital Trust: the University College London Hospital

Data from the Hospital Episode Statistics database suggest that, after a period of stagnation in
activity and low productivity mirrored across London, clinical activity at UCLH has only increased
since 2002 and productivity since 2004. While clinical activity has also grown over the same period in
other London teaching hospitals, productivity has not. This suggests that increasing productivity was
not only the result of Department of Health initiatives but also actions taken by the UCLH Trust.

Taken as a whole, the evidence suggests that further productivity gains are possible, certainly in
other London teaching hospitals, but that their scope is speciality?specific.

Further information is available at the research team’s Public Services Programme webpage as well as their site at the Oxford Policy Institute.