Abstract
Background The global financial crisis has led to health budget tightening in many countries, including England. In 2009, the National Health Service was ordered to make £15-£20 billion recurrent efficiency savings between 2011-2014, a cumulative saving of 17%. The savings were to be derived through efficiency improvements including reducing ‘low value procedure’ rates i.e. inefficient/over-used/inappropriate interventions. We examined if procedures rates declined and if any reductions were equitable across commissioning …
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