Medicine And Books

Improving the Health of the Nation: The Failure of the Government's Health Reforms

BMJ 1996; 312 doi: (Published 08 June 1996) Cite this as: BMJ 1996;312:1488
  1. Stephen Gillam

    Colin Francome, David Marks Middlesex University Press, £14.95, pp 310 ISBN 1 898253 05 6

    Wiser heads than mine may place the revolutionary events of ‘89 in a cyclical context. The publication of the Working For Patients white paper still feels like the most influential event of my career. The fifth anniversary of the NHS and Community Care Act has spawned various attempts to judge its impact. “The government believed the introduction of more financial awareness into the health service would-lead to improvements in health” but a central concern of Improving the Health of the Nation is that the reforms have diverted doctors from their primary functions (“looking after patients, developing new ideas for …

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