Financial performance of English NHS trusts and variation in clinical outcomes: a longitudinal observational study.

ABSTRACT:

Objectives

To examine the association between financial performance as measured by operating margin (surplus/deficit as a proportion of turnover) and clinical outcomes in English National Health Service (NHS) trusts.

Setting

Longitudinal, observational study in 149 acute NHS trusts in England between the financial years 2011 and 2016.

Participants

Our analysis focused on outcomes at individual NHS Trust-level (composed of one or more acute hospitals).

Primary and secondary outcomes

Outcome measures included readmissions, inpatient satisfaction score and the following process measures: emergency department (Accident and Emergency (A&E)) waiting time targets, cancer referral and treatment targets and delayed transfers of care (DTOCs).

Results

There was a p

SUBMITTER: Nagendran M 

PROVIDER: S-EPMC6352807 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature