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White paper puts GPs in the driving seat of the new NHS
John WardenThe British government views its new 10 year plan, outlined this week, as a turning point for the NHS. The white paper The New NHS gives control of most of the NHS budget to GPs and community nurses, writes John Warden
The new NHS, foreshadowed in the white paper, will build on what has worked and discard what has failed. It is the basis of a 10 year programme of "evolutionary change rather than organisational upheaval." There will be no return to Labour's old command and control system. But there will be an end to the competitive internal market, introduced by the Conservatives; in its place will be a system of "integrated care" based on partnership driven by performance. The government believes that "what counts is what works."
Many features of the internal market will survive. For example, the separation between
the
purchase and provision of hospital care will
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- Government gives details of quality drive in the NHS in England
- John Warden
BMJ 1998 317: 97.[Extract] [Full Text] [PDF]
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