The NHS--A Kaleidoscope of Care--Conflicts of Service and Business ValuesBMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6937.1172 (Published 30 April 1994) Cite this as: BMJ 1994;308:1172
- Charles Webster
Tony Kember, Gordon Macpherson Nuffield Provincial Hospitals Trust, pounds sterling 25, pp 364 ISBN 0-900574-87-9
The government is standing by its changes in the NHS. The prime minister, interviewed in Essex on 4 April 1994, insisted: “At the last election we promised that we would continue with the health reforms. We are doing that and they are proving successful.” Tony Kember and Gordon Macpherson, the authors of The NHS--a Kaleidoscope of Care, are not so confident. They concede that the reforms “have brought some successes and potential successes, such as medical audit, the purchaser-provider split, improved information systems and greater efficiency.” The sceptic will retort that thisis a pitifully short catalogue of benefits, purchased at unwarrantable cost, and that most of the acknowledged benefits are the cumulative result of policies …
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