Contracts in the National Health Service Internal Market

Internal market reform of the British National Health Service.

Rhetoric and Reality in the English National Health Service; Comment on “Who Killed the English National Health Service?”

Despite fiscal stress, public confidence in the National Health Service (NHS) remains strong; privatisation has not hollowed out the service. But if long term challenges are to be overcome, pragmatism not rhetoric should be the guide.

Who Killed the English National Health Service?

The death of the English National Health Service (NHS) has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established. This article reviews some of these claims, and asks for clearer criteria and evidence to be presented.

The Changing National Health Service: Market-Based Reform and Morality; Comment on “Morality and Markets in the NHS”

This commentary explores some of the issues raised by Gilbert et al.short communication, Morality and Markets in the NHS. The increasing role of market mechanisms and the changing types of healthcare providers together with the use of choice and competition to drive improvements in quality in the National Health Service (NHS), all have important ethical implications. In order for the NHS to con...

Phasing Out Market Mechanisms in the Italian National Health Service

© CIPFA, 2004 The Italian National Health Service (INHS) offers some important lessons for regionalizing and introducing quasi-markets into a health care system. The INHS was established in 1978 and was modelled after the British National Health Service. In the 1990s, jurisdiction over health care was devolved from central government to Italy’s 21 regions. Since then the regions have been exper...