United States

Cost-benefit analysis of early childhood care and education

These reviews described long-term cost-benefit analyses of three early childhood interventions - the Abecedarian Program, Perry High/Scope and the Chicago Child-Parent Centers. All were undertaken in the United States and targeted mostly underprivileged black communities. Given this context, it is argued that results of the three studies are not easily transferable to modern contexts in countries such as England. The results indicated should therefore all be read with the caveat of ‘for the specific population in these studies’. This topic is included in the EPPI-Centre knowledge library.

GP budget holding: lessons from across the pond and from the NHS (Policy paper 7)

Paper which draws on evidence from the US as well as on previous experience in the NHS of GP commissioning in different forms, to identify lessons for policy makers as they take this policy forward.

While the government is on the right lines in promoting GP budget holding, the paper suggests that there is a need for caution in promoting budget holding as a universal solution without regard to the capabilities of practices to manage a budget and the safeguards that need to be put in place to avoid the downside risks.