Balancing the NHS balanced scorecard!

Patel, B., Chaussalet, T. and Millard, P. (2005) Balancing the NHS balanced scorecard! In, 23rd EURO Summer Institute on Operational Research in Healthcare, Southampton, GB, 24 Jul - 04 Aug 2005. 9pp.


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In the UK, the split between opposition and supporters views of the National Health Service (NHS) performance ratings system is growing. Objective argument and consensus would be facilitated if a methodology was developed which showed the cause and effect relationships between the components of the performance rating system. The NHS hospital trust performance ratings data used in 2002 and 2003 were downloaded from the Department of Health performance rating website. Structural equation modelling was used to construct a causal-loop diagram showing the cause and effect relationships between the 16 common performance indicators in the two years. Scenario testing suggests that indicators of delayed transfer of care and of data quality are compromised if emergency readmissions performance is improved.

Item Type: Conference or Workshop Item (Paper)
Related URLs:
Keywords: health services, balanced scorecard, system thinking, structural equation modelling, performance management
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine
Divisions : University Structure - Pre August 2011 > School of Management
ePrint ID: 58744
Accepted Date and Publication Date:
July 2005Published
Date Deposited: 18 Aug 2008
Last Modified: 31 Mar 2016 12:40

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