ArticleBMJ (Clinical research ed.)2014
The impact of NHS resource allocation policy on health inequalities in England 2001-11: longitudinal ecological study.
Article in BMJ (Clinical research ed.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 5 of them syntheses that pooled it.
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Who cites it
62 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The impact of primary care funding on health inequalities: an umbrella review.Primary health care research & development · 2025Pooled it
- Systematic review of the effectiveness of the health inequalities strategy in England between 1999 and 2010.BMJ open · 2022Pooled it
- Examining the effectiveness of place-based interventions to improve public health and reduce health inequalities: an umbrella review.BMC public health · 2021Pooled it
- The impact of reimbursement systems on equity in access and quality of primary care: A systematic literature review.BMC health services research · 2016Pooled it
- A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children.BMC public health · 2014Pooled it
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- Payment mechanisms to improve prevention spending in health care settings: A policy-focused evidence brief.Public health in practice (Oxford, England) · 2026Article
- How can integrated neighbourhood teams (INTs) tackle health and care inequalities? A policy evidence brief.Public health in practice (Oxford, England) · 2026Article
- A comparison of cancer treatment protocols in Australia, Canada, and the United Kingdom.BMC cancer · 2026Article
- Article
- Analysis of orthopaedic private healthcare patterns in England: A potential emerging two-tier system.Public health in practice (Oxford, England) · 2025Article
- Widening gap in life expectancy between patients with heart failure living in most and least deprived areas: a longitudinal cohort study.BMC medicine · 2025Article
- Adjusting primary-care funding by deprivation: a cross-sectional study of Lower layer Super Output Areas in England.BJGP open · 2025Article
- The safety net and child health and well-being: evidence from the United States and the United Kingdom.Fiscal studies · 2025Article
- An Evaluation of the United Kingdom Motor Neuron Disease Nurses and Allied Health Professionals (UK MND NAHP) Workforce: A Census.PloS one · 2025Article
- An equity indicator for assessing mental healthcare access: a national population case study.Epidemiology and psychiatric sciences · 2024Article
- Improving equitable healthcare resource use: developing a neighbourhood district nurse needs index for staffing allocation.BMC health services research · 2024Article
- Operationalisation of health equity principles in physiotherapy hospital triage policies.International journal for equity in health · 2024Article
- Medical Resource Management in Emergency Hierarchical Diagnosis and Treatment Systems: A Research Framework.Healthcare (Basel, Switzerland) · 2024Article
- The U-Shaped Curve of Health Inequalities Over the 20th and 21st Centuries.International journal of social determinants of health and health services · 2024Article
2 more citing papers are in PubMed but not listed here.
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Funding
Abstract
objectiveTo investigate whether the policy of increasing National Health Service funding to a greater extent in deprived areas in England compared with more affluent areas led to a reduction in geographical inequalities in mortality amenable to healthcare.
designLongitudinal ecological study.
setting324 lower tier local authorities in England, classified by their baseline level of deprivation.
interventionDifferential trends in NHS funds allocated to local areas resulting from the NHS resource allocation policy in England between 2001 and 2011.
main outcome measureTrends in mortality from causes considered amenable to healthcare in local authority areas in England. Using multivariate regression, we estimated the reduction in mortality that was associated with the allocation of additional NHS resources in these areas.
resultsBetween 2001 and 2011 the increase in NHS resources to deprived areas accounted for a reduction in the gap between deprived and affluent areas in male mortality amenable to healthcare of 35 deaths per 100,000 population (95% confidence interval 27 to 42) and female mortality of 16 deaths per 100,000 (10 to 21). This explained 85% of the total reduction of absolute inequality in mortality amenable to healthcare during this time. Each additional £10 m of resources allocated to deprived areas was associated with a reduction in 4 deaths in males per 100,000 (3.1 to 4.9) and 1.8 deaths in females per 100,000 (1.1 to 2.4). The association between absolute increases in NHS resources and improvements in mortality amenable to healthcare in more affluent areas was not significant.
conclusionBetween 2001 and 2011, the NHS health inequalities policy of increasing the proportion of resources allocated to deprived areas compared with more affluent areas was associated with a reduction in absolute health inequalities from causes amenable to healthcare. Dropping this policy may widen inequalities.
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