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. 2016 Apr 4;26(5):547–565. doi: 10.1002/hec.3338

Table 1.

Key features of each Parliamentary term

Parliamentary term/ Average Average
Party Prime Minister annual real annual GDP
/start date terms change growth (%)
(majority/seats) in NHS ex‐
penditure (%) Key new NHS policies that might impact on provider productivity
Labour 5.5 3.32 1997: Private Finance Initiative enacted to fund NHS capital investment
Tony Blair 1998: launch of NHS Direct telephone advice service
1‐May‐1997 2000: creation of walk‐in centres and minor injuries units
(179/659) 2001: 18‐month maximum wait for inpatient treatment
Labour 7.95 2.73 2002: 4‐hour waiting time target to be seen in A&E
Tony Blair 2003: start of phased introduction of prospective payment (Payment by Results) for hospital activity
7‐Jun‐2001 2003: new contract for hospital doctors (consultants)
(167/659) 2004: new GP contract
2004: introduction of Agenda for Change contract for NHS staff (except doctors)
2004: First ten foundation trusts established
2004: First contracts allowing NHS patients to be treated in private (independent sector) treatment centres
2005: 6‐month maximum wait for inpatient treatment
Labour 4.15 2.79 2006: patients offered choice of at least four hospitals for planned care
Tony Blair
5‐May‐2005
(66/646)
Labour 5.67 −1.06 2008: choice extended to any hospital for planned care
Gordon Brown 2009: maximum 18‐week waiting time embodied in new NHS Constitution
27‐Jun‐2007
(na)
Conservative‐Liberal Democrat Coalition; 1.18 1.84 2011: ‘Quality, Innovation, Productivity and Prevention’ challenge to save £15–20bn from 2011 to 2014
David Cameron 2012: choice of any qualified provider
6‐May‐2010 2012: Health and Social Care Act
(78/650) 2013: Substantial re‐organisation of NHS enacted

Term dates and seats from (Wikipedia, 2015).

Expenditure up to 2010/2011 from (Harker, 2012) up to 2013/2014 from (Her Majesty's Treasury, 2014) GDP from (Office for National Statistics, 2015).

Policies from (NHS Choices, 2015; Propper et al., 2008).

GDP, gross domestic product; NHS, National Health Service; GP, general practitioner.