Imperial College London


Business School

Associate Dean of Faculty and Research, Chair in Economics



+44 (0)20 7594 9291c.propper CV




276Business School BuildingSouth Kensington Campus





Targets and Terror

Waiting times have been a central concern in the English NHS, where care is provided free at the point of delivery and is rationed by waiting time. Pro-market reforms introduced in the NHS in the 1990s were not accompanied by large drops in waiting times. As a result, the English government in 2000 adopted the use of an aggressive policy of targets coupled with publication of waiting times data at hospital level and strong sanctions for poor performing hospital managers. This regime has been dubbed ‘targets and terror’.  Carol Propper discusses this research

View paper or listen to podcast here 


Centralised Pay Setting

Nurses' pay in England is set centrally with little local variation. This means that hospitals in high cost areas like London and the South East struggle to recruit and retain staff. As a consequence, they treat fewer patients and have higher fatality rates among patients admitted with emergency heart attacks. Carol Propper discusses this research (Full Press Release)

View paper or listen to podcast here