BMJ 1994;309:351-2 (6 August)

Editorials

Where now for the NHS reforms?

Last week saw the publication of a series of reports on the role of the Department of Health and the management of the new NHS (see p 357).1 These reports were commissioned in the light of the functions and manpower review and the decision to abolish regional health authorities and merge district health authorities and family health services authorities.2 The result of ministerial deliberations and Treasury intervention will be a substantial reduction in the number of civil servants in the Department of Health. There will also be tight controls over the number of staff employed in the new regional offices of the NHS Executive and a move to accelerate joint commissioning between district health authorities and family health services authorities. This all adds up to a further period of major structural change as the government seeks to get the organisation right.

While many of the planned changes are sensible in . . . [Full text of this article]


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