The evidence most often quoted here is the 2008 Carter report.
I attach a pdf of his second report.
Appendix D shows cost differences across the pilot sites.
Although he proposed moving cold work into regional hubs I don't think he really addressed the issue of how the unit costs of the hot work goes up.
Wayne
Mr WH Bradbury
Consultant Biochemist
Biochemistry Department
Cumberland Infirmary
CARLISLE
Cumbria
CA2 7HY
Tel: 01228 814521
Fax: 01228 814831
E-mail: [log in to unmask]
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Jonathan Kay
Sent: 31 October 2011 15:20
To: [log in to unmask]
Subject: Economies of scale
It's become a dogma in our subject that laboratories with higher workload have lower unit costs. I'm speaking in a debate on "pathology" "networks" and thought it would be a good idea to summarise the evidence for this.
What's the best piece of evidence you have for this? Would you be prepared to tell me and/or the mailgroup what it is?
Thanks
Jonathan
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