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Dismantling the NHS?
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Dismantling the NHS?: Evaluating the Impact of Health Reforms

Mark Exworthy, Russell Mannion, and Martin Powell


This book provides an in-depth analysis of the NHS reforms ushered in by UK Coalition Government under the 2012 Health and Social Care Act, arguably the most extensive reforms ever introduced in the NHS. Contributions from leading researchers from the UK, the US and New Zealand examine the reforms in the contexts of national health policy, commissioning and service provision, governance and others. Collectively, the chapters presents a broader assessment of the trajectory of health reforms in the context of marketisation, the rise of health consumerism and the revelation of medical scandals. T ... More

Keywords: NHS, Health and Social Care Act, coalition government, health policy, health reforms

Bibliographic Information

Print publication date: 2016 Print ISBN-13: 9781447330226
Published to Policy Press Scholarship Online: May 2017 DOI:10.1332/policypress/9781447330226.001.0001


Affiliations are at time of print publication.

Mark Exworthy, editor
University of Birmingham

Russell Mannion, editor

Martin Powell, editor

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Section A: Health reforms in context

Section B: National health policy

Three NHS finances under the Coalition

Anita Charlesworth, Adam Roberts and Sarah Lafond

Four Did NHS productivity increase under the Coalition government?

Chris Bojke, Adriana Castelli, Katja Grašič, Daniel Howdon and Andrew Street

Five The central management of the English NHS

Scott L Greer, David Rowland and Holly Jarman

Section C: Commissioning and service provision

Eight Clinically led commissioning: past, present and future?

Kath Checkland, Anna Coleman, Imelda McDermott and Stephen Peckham

Section D: Governance

Fourteen Health and Wellbeing Boards: The new system stewards?

Anna Coleman, Surindar Dhesi and Stephen Peckham

Section E: Conclusions

End Matter