Alan Maynard

Contact Details

Tel: +44 (0) 1904 321333
Fax: +44 (0) 1904 321383
Email: akm3@york.ac.uk
Postal: Department of Health Sciences, First Floor, Area 2, Seebohm Rowntree Building, University of York, York, UK YO10 5DD

Qualifications

B.A. (first class honours), B.Phil, HonDSc, FAMS, Hon MFPHM

Theme group membership (research)

Health Policy and health economics in particular primary care reform, the regulation of the pharmaceutical industry and consultant payment and productivity, international health policy.

Theme group membership (teaching)

Health Policy
MSc Health Sciences: health policy (term 1) (taught with Karen Bloor)

Biography

Academic Roles

1968 - 1971 Assistant Lecturer, then Lecturer in Economics, University of Exeter
1971 - 1976 Lecturer in Economics, University of York
1976 - 1983 Senior Lecturer, then Reader in Health Economics and Founding Director of the Graduate Programme in Health Economics, University of York
1983 - 1995 Professor of Economics and Founding Director of the Centre for Health Economics (CHE), University of York
1995 - 1996 Secretary and Chief Executive, Nuffield Provincial Hospitals Trust (Foundation funding Health Policy Research)
1996 - Professor of Health Economics, University of York and Director of the York Health Policy Group
1996 - Honorary Member of Faculty of Public Health Medicine
1998 - Visiting Professor, LSE Health, London School of Health Economics, London
1999 President, International Health Economic Association (iHEA) (Founded 1998 with over 1200 members worldwide)
2000 - Fellow Academy of Medical Sciences, United Kingdom
2000 - 2004 Honorary Professor, University of Aberdeen, Scotland
2001 - 2002 Member, Advisory Committee, Health Technology Board of Scotland
2000 - 2001 Acting (part-time Director), Health Economics Research Unit (HERU), University of Aberdeen
2002 - Adjunct Professor, Centre for Health Economics, Research and Evaluation, University of Technology, Sydney, Australia

Other Roles

1983 - 1992 Member, York Health Authority (during part of this time I was also a member of the North Yorkshire Family Practitioner Committee (1985 - 1988))
1992 - 1997 Non-executive director, York NHS Trust
1997 - Chair, York NHS Trust
2004 - Chair, Compass (services for drug users)

Some other work experience

1986 - 1989 Member, Social Science Research Council (SSRC), now the Economic and Social Research Council (ESRC)
1986 - 1992 Member, Health Services Research Committee, Medical Research Council (MRC)
1992 Chair, Evaluation Committee of the European Union Biomedical Research Programme
1998 - 2000 Member, Independent Inquiry into the 1971 Misuse of Drugs Act (the Runciman Report), Police Foundation.
2000 - Member of Council, COMPASS (an agency providing addiction services for health authorities and prisons)
2000 - Member, Scrutiny Committee, Dr Fosters Research Projects
2000 - 2003 Department of Health (with K Bloor) £200,000 Consultant productivity

Consultancy Work

Work for the UK Department for International Development, the World Health Organisation, the World Bank and the European Community in countries such as Brazil, China, Malawi, South Africa, Serbia, Kyrgyzstan, Ukraine, Chile and Mexico.

Taught on World Bank Flagship course in Washington DC, Bangkok, Beirut, Budapest and Kiev.

Research Interests

Remuneration and performance management of doctors, regulation of the pharmaceutical industry, health care reform and evidence based policy, both nationally and internationally, the regulation of the market for addictive substances (especially illicit drugs, alcohol and tobacco).

Publications

Books

Maynard A (ed). The Public-Private Mix for Health - Plus ça change, plus c'est la même chose? The Nuffield Trust, Radcliffe Publishing, Oxford, 2005

Scott A, Maynard A and Elliott R (eds). Advances in Health Economics. John Wiley, 2002.

Bloor, K, Barton, G and Maynard, A. Management Updates: The Future of Hospital Services. Institute of Healthcare Management policy paper; 67 pages. London: The Stationery Office, 2000. ISBN 0 11 702483 X

Culyer A J, and Maynard, A (eds), Being Reasonable about Health Economics, selected essays by Alan Williams Edward Elgar, London; 1997.

Maynard, A and Chalmers, I (eds), Non Random Reflections on Health Services Research: The 25th Anniversary of A L Cochrane's Effectiveness and Efficiency British Medical Journal Publishing, London; 1997.

Purchasing and Providing Cost Effective Health Care (edited with M F Drummond), 1993. Churchill Livingstone, London, Edinburgh.

Competition in Health Care: Reforming the NHS (edited with A J Culyer and J Posnett), 1990. Macmillan.

Maynard, A, Fredrickson, D, Garattini, S, Makela, P H, Mattheis, R and Papadimitriou, M. Evaluation of Fourth Medical and Health Research Programme. Luxembourg: Commission of the European Communities. Research Evaluation Report, 44 / EUR 13001. 1990.

Preventing Alcohol and Tobacco Problems (edited with P Tether), 1990. Avebury, Aldershot.

Controlling Legal Addictions (edited with D Robinson and R Chester), 1989. Macmillan.

Wagstaff, A and Maynard, A. Economic Aspects of the Illicit Drugs Market and Drug Enforcement Policies in the United Kingdom. London: HMSO. Home Office Research Study No. 95. 1988.

Parents and Children: Incomes in Two Generations (with A B Atkinson and C Trinder) 1983, Heinemann, London.

Public-Private Mix for Health: the relevance and effects of change (edited with G McLachlan), 1982. Nuffield Provincial Hospitals Trust, London.

Health Care in the European Community, 1976, Croom Helm, London and Pittsburgh (translated into Japanese).

Chapters in Books (since 2000 only)

Bloor K and Maynard A. Incentives and the UK medical labour market. P C Smith, L Ginnelly and M Sculpher (eds) Health Policy and Economics Opportunities and Challenges, Open University Press, 173-198.

Bloor K and Maynard A. International pharmaceutical policy: health creation or wealth creation? N Freemantle and S Hill (eds) Evaluating Pharmaceuticals for Health Policy and Reimbursement, Blackwell Publishing, 2004, 46-66

Maynard, A. Measuring outcomes and the quality of life. J Neuberger (ed) Horizons in Medicine, Royal College of Physicians of London, 2003, no. 14, 297-303

Maynard, A. Informing treatment decisions with economics-based medicine (the new EBM) Evidence-based medicine: a critical assessment, International Congress & Symposium Series 252, The Royal Society of Medicine Press Ltd, 2002, 17-24

Maynard, A. Health economics: continuing imperialism? D Kernick (ed) Getting Health Economics into Practice, Radcliffe Medical Press, 2002, 319-324

Maynard, A. Barriers to evidence-based policy making in health care. Health Policy Roundtable, Conference Proceedings, Productivity Commission, June 2002, 13-47

Maynard, A. Why Do Folk Clutch at Straws When There is a Lifeboat on Hand? Healthcare Papers, vol 2. no. 4, 2002, page 54-60

Maynard, A. Evidence-based medicine e conflitto di interessi. Politiche Sanitaire, vol 3, N.1, Gennario-Marzo 2002, page 30-33.

Maynard, A. Do disparities continue to exist between Member States in the area of Public Health? Europe Blanche XXIII, Brussels, page 24-28

Maynard, A and Dixon A. Private health insurance and medical savings accounts: theory and experience. In Funding Health Care: Options for Europe, Mossialos E, Dixon A, Figueras J and Kutzin J (eds). Open University Press, Buckingham, 2002.

Maynard, A. Daring to Dream: The Future of Australian Health Care. G Mooney and A Plant (eds) John Deeble "The Boy Dun Well", Black Swan Press, 2002

Maynard, A. Social Values and Access to Health Care: How Much Efficiency? How Much Equity? The Changing Face of Health Systems, The Israel National Institute for Health Policy and Health Services Research, Medical Sciences, Gefen Publishing House, 2002

Bloor, K and Maynard, A. Handbook of International Health Care Systems, K V Thai, E T Wimberley and S M McManus (eds) Universal Coverage and Cost Control - The United Kingdom National Health Service, Marcel Dekker, 2001

Maynard A. Rationing Care in A M Warnes, L Warren and M Nolan (eds) Care Services for Later Life : Transformations and Critiques, Jessica Kingsley Publishers, 2001.

Maynard A. Economic Issues, in N Rowland and S Goss (eds) Evidence Based Counselling and Psychological Therapies: Research and Applications, Routledge, London. 2000.

Bloor K, Street A and Maynard A. The cornerstone of Labour's "new NHS": reforming primary care, in PC Smith (ed), Reforming Markets in Health Care : an economic perspective, Open University Press, Buckingham. 2000.

Journal Articles (since 2000 only)

Oliver A, Mossialos E, Maynard A. The contestable nature of health policy analysis. Health Economics, 2005, 14:Supplement (S1), 3-6

Maynard A. European health policy challenges. Health Economics, 2005, 14:Supplement (S1), 255-263

Maynard A. Competition in health care: what does it mean for nurse managers? Journal of Nursing Management, 2005, 13, 403-416

Lankshear AJ, Sheldon TA, Maynard A. Nurse staffing and health outcomes: A systematic review of the international research evidence. Advances in Nursing Science, 28,2,163-174

Maynard A. Quality Control in the Regulation of Pharmaceuticals. Pharmacoeconomics, 2005, 23 (5): 421-422

Hall J and Maynard A. Healthcare lessons from Australia: what can Michael Howard learn from John Howard. British Medical Journal, 2005, 330, 357-9

Maynard A, Bloor K and Freemantle N. Challenges for the National Institute for Clinical Excellence. British Medical Journal, 2004, 329, 227-9.

Bloor K, Maynard A and Freemantle N. Variation in activity rates of consultant surgeons and the influence of reward structures in the English NHS. Journal of Health Services Research and Policy, 2004, vol 9, no 2, 79-84.

Maynard, A. Economic evaluation in addiction. Addiction, 2004, 99, 1, 129.

Maynard, A and Bloor, K. Trust and performance management in medical marketplace. Journal of the Royal Society of Medicine, 2003, 96, 532-539

Maynard, A and Bloor, K. Trust, performance management and the new GP contract. British Journal of General Practice, 2003, 754-755.

Maynard, A and Bloor, K. Managing medical practice: time for a quantitative approach? Clinician in Management, 2003, 12: 33-8

Walker, A and Maynard, A. Managing medical workforces: from relative stability to disequilibrium in the UK NHS, Applied Health Economics and Health Policy, 2003:2(1) 25-36.

Maynard, A and Bloor K. Dilemmas in Regulation of the Market for Pharmaceuticals, Health Affairs, 2003, 22, 3, 31-41.

Maynard, A and McDaid, D. Evaluating health interventions: exploring the potential. Health Policy, 2003, 63, 215-226

Maynard, A and McDaid, D. Evaluating health interventions in the 21st century: old and new challenges, Health Policy, editorial, 2003, 63, 117-120

Bloor K, Freemantle N, Khadjesari Z, Maynard A. Impact of NICE guidance on laparoscopic surgery for inguinal hernias: analysis of interrupted time series. British Medical Journal 2003; 326:578

Cookson, R, McDaid, D and Maynard, A. Wrong SIGN NICE mess: is national guidance distorting allocation of resources? British Medical Journal, September 2001, 743-745

Maynard, A. Ethics and health care 'underfunding'. Journal of Medical Ethics 2001; 27:223-227 " Maynard, A and Cookson, R. Money or your life? The health - wealth trade-off in pharmaceutical regulation. Journal of Health Services Research & Policy, Vol 6, No. 3, 2001: 186 - 189.

Devlin, N, Mays, N and Maynard, A. New Zealand's new health sector reforms: back to the future? British Medical Journal, May 2001, 322

Bloor, K and Maynard, A. Workforce productivity and incentive structures in the UK National Health Service. Journal of Health Services Research & Policy, Vol 6, No. 2, 2001: 105 - 113

Maynard, A, Sheldon, T. Rationing is needed in a national health service. British Medical Journal, 322, March 2001

Bloor, K and Maynard, A. Reforming the contract of UK consultants. British Medical Journal, March 2000, 322

Bloor, K. and Maynard, A. Disease management : a global cost containing initative?, Pharmacoeconomics, 2000, 17, 6, 539-44

Kanavos, P. and Maynard, A. Health economics : an evolving paradigm, Health Economics, 9, 3, 183-190, 2000 " Hutton, J. and Maynard, A. A NICE challenge for health economics, Health Economics, 9, 2, 89-94, 2000

Cookson, R and Maynard, A. Health Technology Assessment in Europe: Improving Clarity and Performance. International Journal of Technology Assessment in Health Care, 16:2, 2000, 1-12. Miscellaneous Publications (since 2004)

Maynard, A. The vultures gather to do the Oliver Twist. British Journal of Health Care Management, 2005, 11 (9), 286.

Maynard, A. Alan Williams, Economist who transformed the delivery of health care to patients. British Medical Journal, July 2005, 331, 51.

Maynard, A. Heading for the cliff edge? British Journal of Health Care Management, 2005, 11 (5), 158.

Maynard, A. Election alert - some manifesto questions. British Journal of Health Care Management, 2005, 11 (4), 126.

Maynard, A. Will the Blur reforms undermine the NHS? British Journal of Health Care Management, 2005, 11 (3), 94.

Maynard, A. Additional Evidence Issues. Health Affairs, 2005, 24, 4, 1183

Maynard, A. The costs of redisorganisation. British Journal of Health Care Management, 2005, 11 (2), 62.

Maynard, A. Has the Government gone bonkers? British Journal of Health Care Management, 2005, 11 (1), 30.

Maynard, A. Competition will have to be informed by careful marketing, an activity alien to the NHS. Health Service Journal, May 2005, 3.

Maynard, A. Election Dreams, Hospital Doctor, April 2005, 29 " Maynard A, The public and politicians can learn to value NHS managers, Health Service Journal, April 2005, 22-23.

Maynard, A. Critical condition: How health care in America became big business - and bad medicine. Book Review, The New England Journal of Medicine, March 2005, 1160-1161

Maynard, A. What's going on in the NHS crematorium?. British Journal of Health Care Management, 2004, 10 (12), 382.

Maynard, A. The rational foundation trust would use data to compete for business on the basis of consultants' outcome. Health Service Journal, December 2004, 16.

Maynard, A. When will managers ever manage clinicians. British Journal of Health Care Management, 2004, 10 (11), 350.

Maynard, A. Mismatch of the day. Health Service Journal, October 2004, 22.

Maynard, A. Policy zombies and the NHS. British Journal of Health Care Management, 2004, 10 (10), 318.

Maynard, A. Use of quantitative data will be welcomed by many who would prefer explicitness with quantitative measurement rather than 'nods and winks' associated with golf clubs and Masonic memberships. Health Service Journal, September 2004, 16

Maynard, A. Should the poor get stuffed?. British Journal of Health Care Management, 2004, 10 (9), 286.

Maynard, A. Teaching Limeys to suck eggs. British Journal of Health Care Management, 2004, 10 (7), 222.

Maynard, A. Re-disorganisation from within: all change again? British Journal of Health Care Management, 2004, 10 (6), 90.

Maynard, A. NHS can learn from BUPA. Sunday Times, April 2004 " Maynard, A. Towards an NHS market? British Journal of Health Care Management, 2004, 10, (5), 158.

Maynard, A. On the real effects of tariffs. Health Service Journal, May 2004, 17.

Maynard, A. Why ignore the obvious? British Journal of Health Care Management, 2004, 10, (4), 126.

Maynard, A. Dancing to the National Tariffs Tango. British Journal of Health Care Management, 2004, 10, (3), 94.

Maynard, A. Is NICE affordable? PharmaTimes, 2004, 32 " Maynard, A. The NICE problem of affordability. British Journal of Health Care Management, 2004, 10, (2), 62.

Maynard, A. A NICE price? Health Doctor, January 2004, 80

Maynard, A. Best wishes for a challenging 2004! British Journal of Health Care Management, 2004, 10, (1), 30