Team composition and productivity: Evidence from nursing teams in the English National Health Service

03/23/2022 12:00 pm 03/23/2022 01:00 pm Australia/Melbourne Team composition and productivity: Evidence from nursing teams in the English National Health Service

Prof Propper will discuss her study on the impact of team composition on productivity in a setting where team production is particularly important: nursing teams in the English National Health Service (NHS).

The study measures composition both in terms of the quantity of staff and the quality of staff, as measured by qualifications, rank and experience.

A panel dataset links daily staffing rotas with inpatient mortality records for a single NHS Trust that includes three large hospitals and 52 wards.

Results show that the probability of a patient death is lower for teams with a greater number of qualified and senior nursing staff, but find no statistically significant impacts of increased numbers of support staff or agency workers.

There are returns to experience for qualified staff, with a lower probability of a patient death in teams where nurses have more experience in the Trust, and returns to both team and ward (physical location)-specific experience, with a lower probability of death for patients treated by staff who regularly work together and on the ward in question.

Our results also provide evidence on the value of bosses, with higher mortality rates when there is an unexpected absence of a senior nurse who leads the team.

Speaker

Professor Carol Propper, Imperial College Business School / Centre for Health Economics, Monash Business School

Prof Propper's research focuses on the impact of incentives on the quality of health care delivery and health system productivity and, more widely, on the design and consequences of incentives within the public sector and the boundary between the state and private markets.

Prof Propper was made a Dame in the 2021 New Year's Honours in recognition of her public services to health and economics.

She was Associate Dean for Faculty and Research at Imperial Business School from 2016-19, Co-Director and Director of the Centre for Market and Public Organisation at the University of Bristol from 1998-2009 and Co-Director of the Centre for the Analysis of Social Exclusion at London School of Economics from 1997-2007. From 2016 she has been Deputy Editor of VOX EU.

Prof Propper is a Fellow of the British Academy and an International Fellow of the National Academy of Medicine. She is the current President of the Royal Economic Society, and a member of President Macron of France's expert commission on major economic challenges.

As part of the Centre of Health Economics' vibrant research culture, we host a weekly seminar series where visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.

Contact shannon.stanwell@monash.edu for registration details.

Event Details

Date:
23 March 2022 at 12:00 pm – 1:00 pm
Venue:
Caulfield campus, Building H, Level 9, Seminar Room H9.02
Categories:
Health Economics; CHE Seminar

Description

Prof Propper will discuss her study on the impact of team composition on productivity in a setting where team production is particularly important: nursing teams in the English National Health Service (NHS).

The study measures composition both in terms of the quantity of staff and the quality of staff, as measured by qualifications, rank and experience.

A panel dataset links daily staffing rotas with inpatient mortality records for a single NHS Trust that includes three large hospitals and 52 wards.

Results show that the probability of a patient death is lower for teams with a greater number of qualified and senior nursing staff, but find no statistically significant impacts of increased numbers of support staff or agency workers.

There are returns to experience for qualified staff, with a lower probability of a patient death in teams where nurses have more experience in the Trust, and returns to both team and ward (physical location)-specific experience, with a lower probability of death for patients treated by staff who regularly work together and on the ward in question.

Our results also provide evidence on the value of bosses, with higher mortality rates when there is an unexpected absence of a senior nurse who leads the team.

Speaker

Professor Carol Propper, Imperial College Business School / Centre for Health Economics, Monash Business School

Prof Propper's research focuses on the impact of incentives on the quality of health care delivery and health system productivity and, more widely, on the design and consequences of incentives within the public sector and the boundary between the state and private markets.

Prof Propper was made a Dame in the 2021 New Year's Honours in recognition of her public services to health and economics.

She was Associate Dean for Faculty and Research at Imperial Business School from 2016-19, Co-Director and Director of the Centre for Market and Public Organisation at the University of Bristol from 1998-2009 and Co-Director of the Centre for the Analysis of Social Exclusion at London School of Economics from 1997-2007. From 2016 she has been Deputy Editor of VOX EU.

Prof Propper is a Fellow of the British Academy and an International Fellow of the National Academy of Medicine. She is the current President of the Royal Economic Society, and a member of President Macron of France's expert commission on major economic challenges.

As part of the Centre of Health Economics' vibrant research culture, we host a weekly seminar series where visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.

Contact shannon.stanwell@monash.edu for registration details.