OECD backs NHS reforms

BMJ 1994; 309 doi: (Published 23 July 1994) Cite this as: BMJ 1994;309:221
  1. L Beecham

    The NHS reforms in Britain are producing increasingly encouraging results, reports the Organisation for Economic Cooperation and Development (OECD). In its latest economic survey covering the United Kingdom the international organisation, which formulates and coordinates economic and social policies among industrialised countries, devotes a chapter to the reforms. It says that, although there has been little systematic research into the reforms' impact, the available information shows that the internal market was “a bold attempt to introduce elements of competition into the centrally-financed healthcare system.” To the criticism that general practitioner fundholding was producing a two tier service the OECD says that it has found no firm evidence of inequity. It points out “there has always been an element of inequity because the competence of GPs as …

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