Local accountability has been a significant policy issue within the NHS generally. However, primary care trusts are in the main accountable to the centre and there have been calls to review this. This paper discusses a range of options for reforming the relationships between PCTs and their public. It explores ...
Attempts to give more choice to users of public sector services has been a major theme of the Labour government's public sector modernisation programme. Policies have been developed in health care, education and social housing that aim to give users a greater choice of publicly or privately owned providers, and ...
In December 2006, the Department of Health issued its second 'operating framework', The NHS in England: The operating framework for 2007/08, which provides a set of rules and guidance for NHS organisations in England for the year ahead. Aimed primarily at managers and clinical staff, the operating framework for 2007/8 ...
'Free choice' - allowing patients being referred for non-urgent treatment to choose a hospital anywhere in England - begins in the NHS in England in April 2008. It is another milestone in a policy that aims, among other things, to use consumer pressure to improve the quality of hospital services ...
In 2008 the NHS celebrates its 60th birthday. This briefing looks at key health care issues over the last 60 years and forward to its 120th birthday. [Introduction]