Intended for healthcare professionals


Major 2012 NHS reform failed to deliver on promises, finds study

BMJ 2017; 359 doi: (Published 14 November 2017) Cite this as: BMJ 2017;359:j5253
  1. Susan Mayor
  1. London

The government’s major reorganisation of the health service in England in 2012, the most sweeping in the recent history of the NHS, failed to reduce admissions to hospital, shows a new study that tracked the effects of the changes on hospital workloads. Furthermore, it found an increase in outpatient visits to specialists after 2012.

The study, reported in PLOS Medicine,1 looked at the effect of the Health and Social Care Act 2012, which introduced the clinical commissioning groups (CCGs) that gave greater control of secondary care budgets to GPs. Policy makers hoped that this would shift care away from hospitals to the community.

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