Are we on track - can we monitor bed targets in the NHS plan for England?
The NHS plan announced sustained increases in funding accompanied by wide ranging reform, the success of which would be measured by targets set across the board, including increases in numbers of beds, staff, hospitals and equipment. In this article we assess progress towards the target of 7,000 extra beds in hospitals and intermediate care to be achieved by 2004. Summary points are as follows. (1) Although the 2003/2004 target for availability of general and acute NHS beds in England was achieved, the increase did not offset the overall decrease in all categories of beds. Bed availability fell by 2083, from 1,86,290 in 1999/2000 to 1,84,207 in 2003/2004, following a fall of 12,558 from 1996/1997 to 1999/2000. (2) Lack of standardized definitions and data collection systems both within the NHS and for the independent sector, compounded by ambiguity over the funding of extra capacity for the NHS, call into question the accuracy of data collected about intermediate care beds. (3) Systems for collecting data about intermediate care should be made subject to the same code of practice as official NHS statistics in order to monitor future targets and plan for provision of care. (4) Changes in definitions, lack of detail about criteria used in setting targets and lack of data about private sector care, make it impossible to monitor the overall capacity available to the NHS and assess whether bed availability targets have been met.
Macfarlane
Alison J
AJ
Department of Midwifery, City University, London EC1Y 4TY, UK. a.j.macfarlane@city.ac.uk
Godden
Sylvia
S
Pollock
Allyson M
AM
D003625:Data Collection; D004739:England; D018166:Health Care Reform; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data*; D006752:Hospital Planning / Q000458:organization & administration*; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D007380:Intermediate Care Facilities / Q000706:statistics & numerical data; D009937:Organizational Objectives; D015397:Program Evaluation; D013222:State Medicine / Q000458:organization & administration*