“Closed shop” of NHS is choking attempts to create a meaningful market, says think tank

BMJ 2010; 341 doi: (Published 04 October 2010) Cite this as: BMJ 2010;341:c5437
  1. Anne Gulland
  1. 1London

The development of a market in the NHS has been stifled by a “closed shop” of NHS providers and has therefore failed to deliver benefits on any “meaningful or systematic scale,” says a report.

For its investigation into the impact of market based reform in the NHS the think tank Civitas conducted 46 in-depth interviews with NHS hospital and primary care trusts, commissioners, and private sector providers across three health economies in England. It found that the market has had no clear effect on equity and any improvements in responsiveness to patients were not clearly linked to the market.

Improvements in quality of care were linked …

View Full Text

Log in

Log in through your institution


* For online subscription