The Economics of multi-sectoral working with health


Collaboration and multi-sectoral working within the health and care system is becoming increasingly important and common. This often means that investment from one organisation leads to financial benefit in another. The way organisations are regulated does not encourage this ‘whole system’ approach, meaning financial flows and payment systems can be a barrier to multi-sectoral collaboration.

To address this, this project is focusing on three questions: 1) Does multi-sectoral working with health improve health outcomes and/or reduce overall health spend? 2) What role do financial incentives play in helping or hindering multi-sectoral working? 3) Are there specific population segments for whom multi-sectoral working would have maximal benefit? Semi-structured interviews with health leaders, along with connected health and council datasets will be used to help answer these questions.

Researcher: Jenny Shand, University College London

Supervisor: Professor Stephen Morris, University College London

Start date and duration: October 2015, 4 years

Partners and collaborators involved: University College London, Barking, Havering and Redbridge University Hospitals NHS Trust, NHS Barking and Dagenham, Havering and Redbridge CCGs, UCLPartners, London Borough of Barking and Dagenham