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Reforming healthcareWhat's the evidence?$
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Ian Greener, Barbara E. Harrington, David J. Hunter, Russell Mannion, and Martin Powell

Print publication date: 2014

Print ISBN-13: 9781447307112

Published to Policy Press Scholarship Online: January 2015

DOI: 10.1332/policypress/9781447307112.001.0001

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Reorganising the NHS, 1990–2010

Reorganising the NHS, 1990–2010

(p.29) Three Reorganising the NHS, 1990–2010
Reforming healthcare

Ian Greener

Barbara E. Harrington

David J. Hunter

Russell Mannion

Martin Powell

Policy Press

This chapter first considers the programme theory of the effects of the 1990s internal market reorganisation, before taking the story on to the change in government in 1997 and New Labour’s various attempts to reorganise healthcare in the 2000s. It explores the emergence of new approaches to performance management under more central government control, and institutional changes that saw attempts to get local healthcare organisations to work to central targets. It also examines patient choice and the creation of a mixed economy of care.

Keywords:   programme theory, internal market, reorganisation, central government, performance management, patient choice

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