The innovation lottery: Upgrading the spread of innovation in the NHS
Article
The UK has always been a leader in medical invention - the challenge is to spread that innovation quickly and consistently.
New analysis, presented in this report, shows that if we were to match the performance of our international peers we could save an estimated 20,000 avoidable deaths each year.
IPPR’s research with people working in the system showed three thematic barriers experienced by the frontline, which should be immediate priorities.
- A risk-averse culture, driven by the approach to performance management and focus on short-term targets.
- The sheer complexity of the NHS, coupled with a lack of networks, creating a ‘not invented here’ culture.
- A lack of resource, including a lack of financial support.
Policy change should come in two phases.
First, the centre must set the rules of the game in the long term – by making minimum standards, accountability, roles and regulations clear.
Second, there must be much more active support for local providers and commissioners.
Related items

Restoring security: Understanding the effects of removing the two-child limit across the UK
The government’s decision to lift the two-child limit marks one of the most significant changes to the social security system in a decade.
Building a healthier, wealthier Britain: Launching the IPPR Centre for Health and Prosperity
Following the success of our Commission on Health and Prosperity, IPPR is excited to launch the Centre for Health and Prosperity.
A ‘paradigm shift’ in asylum and immigration policy?
In 2019, a package of asylum reforms known as the ‘paradigm shift’ was passed by a broad party consensus in the Danish parliament.