A Critical Perspective of Cost Benefit Analysis in Education and Training in NHS

By



ACKNOWLEDGEMENT

I would like to thank my supervisors, friends and family, without their support this research study would not have been possible.

DECLARATION

I adjudge that the entire content of this dissertation is entirely my own work; the content used in this dissertation has not been submitted before in any educational institution and represents my own opinion.

Signed __________________ Date _________________

TABLE OF CONTENTS

ACKNOWLEDGEMENTII

DECLARATIONIII

CHAPTER 2: LITERATURE REVIEW1

Overview of the Literature Review1

NHS1

Implementing effective training evaluation in NHS3

NHS training financial implication9

Cost and benefits10

NHS trust fund for training12

REFERENCES17

CHAPTER 2: LITERATURE REVIEW

Overview of the Literature Review

In this literature review the research objectives have been critical analyzed. The research study's objectives are to critically analyse the implementation of effective training evaluation in the NHS, to evaluate is it worth as financial implications i.e. cost and resources allocation. This literature review also included identification of the challenges that how the trust is going to fund for training as Government is cutting fund by 5% efficiency reduction per year for next 3 years. This chapter also included identification of the alternative strategies and recommendations in order to develop effective training ensuring efficient financial management and strategic decision making.

NHS

According to the researcher Harrison Dixon (2000, 77), the National Health System (NHS) is responsible for British public health. Services provided include hospitals, doctors, specialists, dentists, pharmacists, opticians, and ambulances. UK has the best health care system. It provides the quality, efficiency, access to health services, gives healthy lifestyle.  More than 27,000 patients and physicians were surveyed. According to that research despite the achievements in the UK, there is much room for improvement. The medicines, sight tests, glasses, and dental treatments are subsidized. Hospitalization, ambulance services, and medical consultations are free (Campbell, Vernon, 1939, 119). The National Health Service (NHS) has a strong focus on primary care General Practitioner (GP) or family doctor. Most health centres and Practices in the UK are owned by the GPs (Breslow, 2002, 119). Their income derived from providing services to the NHS. Each GP has a quota of 1500-2000 patients and patients often see a specialist if referred by a GP.

In 2002, the British Medical Journal published an influential article comparing the cost-effectiveness of the NHS with Kaiser Permanente in the San Francisco Bay area (Campbell, Vernon, 1939, 119). Looking primarily at the most easily quantifiable aspect of health care expenditures, hospital bed use, and the article highlighted the NHS gross inefficiencies against a backdrop of Kaiser's tightly cost-controlled policies for hospital lengths of stay. The conclusion was that Kaiser provides comparable quality of service for less than the NHS. The second difference of how behavioral medicine was used in the NHS was particularly significant: the courses were taught by sufferers Called “expert patients,” these were specially trained individuals who suffered from chronic pain and taught the techniques that they themselves used everyday (Breslow, 2002, 119). Anyone who had pain and completed the training could become an NHS expert patient, no formal degree was required. Expert patients could, in theory, empathize in a way that a trained professional could ...