Abstract
The NHS reforms have come to mean all things to all men (and women). Identifying a market oriented purchaser-provider split as the conceptual heart of the reforms is still, however, useful. There are important perverse incentives in and around the NHS that are associated with the reforms; furthermore, many reactions to the resulting problems are paradoxical and often counterproductive. Hitherto most criticism of the reforms from the health policy and management community (as opposed to the professions and the public) has been tactical rather than fundamental. There are serious problems for the NHS associated both with the NHS market and with current, often tacit, strategies for the future of the service.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bloor K., Maynard A. An outsider's view of the NHS reforms. BMJ. 1994 Aug 6;309(6951):352–353. doi: 10.1136/bmj.309.6951.352. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Celani M. G., Righetti E., Migliacci R., Zampolini M., Antoniutti L., Grandi F. C., Ricci S. Comparability and validity of two clinical scores in the early differential diagnosis of acute stroke. BMJ. 1994 Jun 25;308(6945):1674–1676. doi: 10.1136/bmj.308.6945.1674. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ham C. The future of purchasing. BMJ. 1994 Oct 22;309(6961):1032–1033. doi: 10.1136/bmj.309.6961.1032. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ham C. Where now for the NHS reforms? BMJ. 1994 Aug 6;309(6951):351–352. doi: 10.1136/bmj.309.6951.351. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith P., Sheldon T. A., Carr-Hill R. A., Martin S., Peacock S., Hardman G. Allocating resources to health authorities: results and policy implications of small area analysis of use of inpatient services. BMJ. 1994 Oct 22;309(6961):1050–1054. doi: 10.1136/bmj.309.6961.1050. [DOI] [PMC free article] [PubMed] [Google Scholar]