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Publications
Most of CEPA's work is commercial in confidence, however some papers and reports are available to the general public, as listed below.

CEPA DISCUSSION PAPERS
Economic regulation of the health system in England

Keith Palmer, Chairman of Cambridge Economic Policy Associates, provided a short note to the Chairman of Ofcom, Lord David Currie, who is the leading the panel advising the Government on the wider review of regulation in healthcare, setting out views on economic regulation of the health system in England. (2005) [Download pdf paper] (179 KB)

Donor Support to Promote Private Investment in Developing Countries
A CEPA paper analysing the constraints on private sector investment in developing countries, (2002) [Download pdf paper] (451 KB)

NHS Reform - Will it Deliver the Desired Health Outcomes?
The UK government is implementing a radical reform strategy for the National Health Service (NHS). The key instruments of reform are PCT commissioning, payment by results (PbR), patient choice, independent sector provision, Foundation Trusts and the 'must do' access and financial targets. The introduction of these reforms is unleashing strong forces that will drive change in behaviour and in the allocation of resources. The paper asks two questions. First will the reform instruments as currently designed deliver the desired outcomes as set out in e.g. the NHS Improvement Plan? Second are there enhancements to the instruments that will increase the likelihood that the desired outcomes will be more fully achieved? This paper was written for and with the support of the King's Fund, an independent charitable foundation working for better health, especially in London. [Download pdf paper] (410 KB)

Final contract issues and financing in PPP/PFI
An analysis of the Private Finance Initiative (Design, Build, Finance, Operate), considering situations in which Design Build Operate may have advantages over PFI/DBFO, (2002) [download pdf paper] (535 KB)

Foundation Trusts and the New NHS Architecture
A CEPA discussion paper considering the necessary conditions for the NHS reforms to succeed, examining in particular the nature and role of Foundation Trusts within the new NHS architecture, (2002) [Download pdf paper] (557 KB)

Funding Johannesburg - Beyond the Rhetoric
A CEPA discussion paper that sets out how donors, governments, the private sector and NGOs can together deliver the ambitions water and sanitation targets reaffirmed at the Johannesburg Summit. This paper is the result of a CEPA hosted seminar entitled 'Funding Johannesburg - Beyond the Rhetoric', held in October 2002 at the Institute of Directors, London. [Download pdf paper] (816 KB).

Delivering basic services to the poor: New approaches to old problems
A CEPA and Commonwealth Business Council discussion paper which was presented at the Commonwealth Finance Ministers Meeting in Brunei Darussalam, September 2003. The paper sets out six areas of reforms designed to increase the levels of private sector involvement in improving the delivery of public services to poor people [Download pdf paper] (234 KB).

Achieving higher growth and poverty reduction in Sub-Saharan Africa
A CEPA discussion paper presented to the Commission on Africa, (2004) [Download pdf paper] (331 KB)

ARTICLES

Making regulators accountable

There are now over 100 independent electricity and/or energy regulatory agencies around the world and all EU member states have them. In 2005, the budgetary cost of the EU energy regulators was over €200 million and to this must be added the costs to energy supply companies and others. So, how well do they perform? Can we identify any net benefits from their existence? And how should we go about trying to establish the impact of these agencies? Jon Stern explores these issues. [Link to article]


Financing the water industry in the UK: Lessons from Price Review 2004?

The 2004 water industry price control review, and the parallel review in the electricity distribution industry, tackled important issues that are relevant for the future of utility regulation in the UK in these sectors and more widely. CEPA's Keith Palmer and Hannah Nixon discuss the lessons that can be learnt. [Link to article]

Will NHS reform deliver the desired health outcomes?
In an article for the Health Service Journal (HSJ), Keith Palmer asks will the forces unleashed by the UK's National Health Service (NHS) reform deliver the desired health outcomes for patients? He sets out that there is widespread agreement about the objectives: shorter waiting times for high quality hospital care when appropriate; more patient care closer to home, and in the home, especially for patients with long term conditions and the elderly; and greater focus on prevention of illness. A careful analysis of the NHS reforms, however, shows clearly that the reform instruments - as currently designed - will have undesirable and unintended effects. [Link to article]

Research - just an academic question?
Daniel Hulls, CEPA Director, asks in an article published in DFID's International Development Magazine 'Developments' (Issue 23) whether we can learn from the private sector to reverse declining support for public-funding research. [Link to article]

Water for Sale
Daniel Hulls, CEPA Director, argues in an article published in DFID's International Development Magazine 'Developments' that providing safe water for developing countries is a task so complex that neither the public nor private sector can achieve it alone. [Link to article]





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