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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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Local Dynamic Reform in the NHS Since 2000

Local Dynamic Reform in the NHS Since 2000

(p.83) Five Local Dynamic Reform in the NHS Since 2000
Reforming healthcare

Ian Greener

Barbara E. Harrington

David J. Hunter

Russell Mannion

Martin Powell

Policy Press

This chapter reviews research on the introduction of patient choice and competition (alongside the introduction of PbR) and the reorganisation of PPI systems within the NHS. It examines the Quality and Outcomes Framework and the conflicts presented between clinical evidence and increased patient choice. The chapter also makes a comparison of the internal market of the 1990s with the mixed economy of care of the 2000s and looks at lessons from public and patient involvement programmes in the 2000s.

Keywords:   Patient choice, Competition, PPI systems, Quality and outcomes framework, 1990s internal market, Mixed economy of care

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