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]

© Copyright 2005 Cambridge Economic
Policy Associates
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