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National Health Service History

Geoffrey Rivett

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Medical staffnursingshort history1948-1998London's hospitals

ALAN MAYNARD – CV 

Alan Maynard was educated at Calday Grange Grammar School and the Universities of Newcastle-upon-Tyne (first class honours in economics, 1967) and York (BPhil in economics, 1968).  He taught economics at the University of Exeter (1968-71) before moving to York to teach economics (1971). 

After 6 years of teaching general economics and specialising in health and social policy, he was appointed Founding Director of the Graduate Programme in Health Economics at York (1977 – 83).  In 1983 he was appointed Founding Director of the Centre for Health Economics (CHE) and, with colleagues, developed it into the leading health economics research and policy centre in Europe.  In 1995 he became Chief Executive of the Nuffield Provincial Hospitals Trust, but returned to academia in 1996 to create the York Health Policy Group in the Department of Health Studies in York. 

During his career as an academic he has been closely involved in NHS management and policy making.  He has been involved in the local (York) NHS since 1983 as a member of a health authority and a Trust board.  Currently he is Chairman of the York NHS Trust which provides acute care for the local population and has a budget of £130M. 

He has been closely involved in initiating three significant NHS policy changes.  In the mid-1980s he proposed that NHS budgets be allocated by general practitioners (the precursor of GP fund holding).  In May 1997 he proposed that pharmaceuticals should only be reimbursed by the NHS if demonstrably cost effective and efficient.  This idea was developed in the Comprehensive Spending Review and introduced as the National Institute of Clinical Excellence (NICE).  Currently his policy focus is the reform of the consultant contract and the systematic development by the medical profession of performance management.  In all these activities it has been remarkable how unwilling policy makers have been to pilot and evaluate before system-wide adoption!  Health care reform is social experimentation with little evaluation. 

In addition to this national activity he has worked as a consultant for the World Health Organisation, the UK Department for International Development, the World Bank and the European Union on a variety of health care reform tasks in Cyprus, Greece, Thailand, Botswana, South Africa, Brazil, Mexico, Bolivia, Chile, China, Lithuania, Latvia, Hungary and Russia. 

He is an Honorary Professor, University of Aberdeen and a Visiting Professor at the London School of Economics.  He lives in York and is married with 4 children and 3 grandchildren.  His work email is akm3@york.ac.uk and his work telephone/fax are 0044 (0) 1904 433645/432496.

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