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Healthcare in the UKUnderstanding continuity and change$
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Ian Greener

Print publication date: 2008

Print ISBN-13: 9781861346094

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861346094.001.0001

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The tripartite split

The tripartite split

(p.38) (p.39) Three The tripartite split
Healthcare in the UK

Ian Greener

Policy Press

This chapter discusses tripartism or the tripartite split, one of the key organisational features of the NHS. It explains that the tripartite split is the result of policy makers' and doctors' attempts to overcome, or use to their advantage, the organisational separation between health services resulting from the organisational compromises present in the founding of the NHS in 1948. Though there are pressures for change from the mixed economy of care, the tripartite relationship between health services has remained remarkably intact over the history of the NHS.

Keywords:   tripartite split, NHS, Great Britain, policy makers, doctors, health services, economy of care

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