Jump to ContentJump to Main Navigation
Social Policy Review 23Analysis and Debate in Social Policy, 2011$
Users without a subscription are not able to see the full content.

Chris Holden, Majella Kilkey, and Gaby Ramia

Print publication date: 2011

Print ISBN-13: 9781847428301

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781847428301.001.0001

Show Summary Details
Page of

PRINTED FROM POLICY PRESS SCHOLARSHIP ONLINE (www.policypress.universitypressscholarship.com). (c) Copyright Policy Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in PPSO for personal use.date: 26 September 2021

The English NHS as a market: challenges for the Coalition government

The English NHS as a market: challenges for the Coalition government

(p.185) Ten The English NHS as a market: challenges for the Coalition government
Social Policy Review 23

Mays Nicholas

Policy Press

This chapter assesses the implications of the Coalitions's plans to restructure the National Health Service (NHS) in England. It explains that the plans involve taking another big step towards an NHS based on a publicly funded regulated market, by abolishing strategic health authorities and replacing primary care trusts with GP-led commissioning consortia. It evaluates the evidence on the market changes introduced by New Labour governments, arguing that these have had some success compared to the impact of additional resources and the setting and enforcement of targets. It notes however, that the absence of any regional intermediary organisations in the Coalition's plans may lead to inefficient duplication, fragmentation and destabilization, given the tendency towards market failure in healthcare. It opines that undertaking the scope and pace of reform envisaged in a context of restricted financial resource is a risky process, and a more complete, more competitive, NHS market could have negative effects on equity.

Keywords:   Coalition's plans, restructure, National Health Service, England, GP-led commissioning consortia, New Labour, healthcare, equity

Policy Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.