Commentary perspectives – Highlights from service re-design in healthcare

This blog includes highlights and key points from the article Service re-design in healthcare: the impact of innovative methods to compare costs and benefits (Anderson et.al, 2019).

The article was written by Robyn Millar, Gillian H. Anderson (corresponding author) Robert Van Der Meer and Alec Morton – all at the Department of Management Science, University of Strathclyde Business School

In the face of growing cost pressures, policy makers are looking for cost effective ways to meet the increasing healthcare needs of the population and improve the service to patients[1].

The collaborative study between the University of Strathclyde, The Scottish Government and NHS Scotland seeks to demonstrate the cost effectiveness of an innovative ‘virtual’ patient pathway – and, more generally, supported capacity building in service redesign and improvement across the Scottish health service.

To the authors knowledge, this is the first time that discrete event simulation has been used in an action research approach to develop bottom-up micro costing models to evaluate the kind of virtual clinic approach that is rapidly gaining acceptance in NHS Scotland and beyond[2].Continue reading

November 6, 2019

Today’s Fraser of Allander Economic Commentary in 10 bullet points

Today we published our latest Economic Commentary – for a quick summary of its findings please see this quick video. The full Commentary can be found here.

  1. Uncertainty continues to act as a drag on Scotland’s economic performance

Scotland’s annual growth rate has slipped once again to just 0.7%. UK growth – whilst faster than in Scotland – is also well below trend at 1.2%

Consumer confidence and risk appetite amongst businesses remains weak.

Business investment in the UK has now been negative in 5 of the past 6 quarters.

Shortly before our June Commentary, figures for Scotland showed economic activity in Q1 of 2019 rising at its fastest rate in almost five years.

At that time, we cautioned that such figures were likely to be impacted by firms stockpiling in the run-up to the first Brexit deadline of 31st March.

Consistent with this, the latest figures now show that the economy contracted by 0.3% in Q2.

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October 23, 2019

FAI Commentary: Scotland’s Climate Emergency

One of the frustrations with the ongoing Brexit burach is that important debates about the future of our economy have been crowded out.

As we have highlighted in previous Commentaries, Scotland faces a number of significant structural challenges. Our population will age significantly, whilst – for many – the world of work will change radically as existing tasks are increasingly automated.

But there are also opportunities, with new markets opening up and technology helping to support improvements in living standards.

One area that has captured the public attention has been climate change. Across the world, we have seen a renewed desire from governments to step up their response to the environmental challenge.Continue reading

Fraser of Allander Economic Commentary Published today

Moving towards a deal, but long-term challenges just about to start, says our latest  report  

  •  Make or break for UK’s exit from EU in coming days
  • Uncertainty to remain for foreseeable future

The impact of Brexit uncertainty has cost the Scottish economy around £3 billion – relative to where it would have been – according to new research from the Fraser of Allander Institute.

In our latest Economic Commentary, we highlight how growth has remained sluggish over the past year with firms putting off investment as they await the outcome of the negotiations over the UK’s exit from the EU.

We also point out that whilst it is possible that the UK’s exit from the EU will be finally ratified in the coming hours, days or weeks, this will not mark the end of the challenges facing Scottish businesses.

Continue reading

From the Fraser commentary – 20 years of Devolution

It is 20 years since the devolved Scottish Parliament was established.

In many ways, the Scottish economy has been greatly transformed over that period.

What the next 20 years will hold is obviously uncertain. But with Brexit, the possibility of IndyRef2 and major structural shifts in our economy guaranteed, it is clearly going to be a period of further upheaval.Continue reading

June 26, 2019