caa a22 4500 397516576 CHVBK 20180308164620.0 cr unu---uuuuu 161202s1995 xx s 000 0 eng 10.1093/eurpub/5.2.130 doi (NATIONALLICENCE)oxford-10.1093/eurpub/5.2.130 Implications for the funding of the service costs of research and evaluation in the new British NHS [Elektronische Daten] [CHRISTINE MCDERMOTT, ROGER BEECH] The NHS reforms and creation of the UK internal market have led to changes in funding arrangements and incentives. Similar health care reforms are occurring across many developed countries, though at differing rates. These reforms have potentially serious implications for research funding and in particular, the service costs of health services research. Within the new NHS framework, the incentive to fund the service costs does not automatically fall on any agency and the main mechanism which should cover ‘excess' service costs, the Service Increment For Teaching and Research (SIFTR), is in its present form inadequate, being unresponsive and non-comprehensive. This can and has led to partially funded research projects, an outcome which is not sustainable in the longer term. This paper discusses the emerging problem and argues that a dearer definition of research costs is required, so that both service and research costs are considered synonymously with the whole cost of the research to funders being identified and agreed at the outset. The service costs of research must most importantly now be considered to be an integral part of the research budget. This will help ensure that projects are adequately funded and can be carried out efficiently to promote high quality, cost-effective care in the NHS. An NHS Research & Development (R&D) Consultative Taskforce was set up to review the present situation and make recommendations for the way forward. We hope that our elucidation of the problem and our recommendations, aid or strengthen those of the Taskforce in this current debate. © European Journal of Public Health ORIGINAL ARTICLES ON OTHER TOPICS nationallicence NHS reforms nationallicence health services research nationallicence service costs nationallicence SIFTR nationallicence MRC Concordat nationallicence MCDERMOTT CHRISTINE Health Economics Research Group, Bunel University Uxbridge, UK aut BEECH ROGER Department of Public Health Medicine, United Medical and Dental Schools of Guy's and St Thomas's Hospitals St Thomas's Campus, London, UK aut The European Journal of Public Health Oxford University Press 5/2(1995), 130-135 1101-1262 5:2<130 1995 5 eurpub https://doi.org/10.1093/eurpub/5.2.130 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/eurpub/5.2.130 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- MCDERMOTT CHRISTINE Health Economics Research Group, Bunel University Uxbridge, UK aut NATIONALLICENCE 700 1- BEECH ROGER Department of Public Health Medicine, United Medical and Dental Schools of Guy's and St Thomas's Hospitals St Thomas's Campus, London, UK aut NATIONALLICENCE 773 0- The European Journal of Public Health Oxford University Press 5/2(1995), 130-135 1101-1262 5:2<130 1995 5 eurpub Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford