Yesterday, the world renowned health economist and ‘father’ of managed competition, Professor Alain C. Enthoven of Stanford University, gave a lunchtime seminar at Civitas, in which he advocated the development of genuine patient-centred health care, based on integrated delivery systems and individual (cost conscious) choice in the NHS.
Those calling for integrated systems of finance, delivery, primary and secondary care are getting louder across the UK, but, according to Professor Enthoven, they must be competing: 'Kaiser Permanente leaders recognise their money and livelihood comes from the money of satisfied members/patients who have a choice. Service improvements are driven by a recognition they could go elsewhere. Kaiser recognises they are a competitor and they welcome competition'. Listen again or view his slides here.