Research
Demand for a new era: The future of health
The forthcoming 60th birthday of the NHS presents an opportunity to review the Service’s readiness for coming years. The Department of Health’s current NHS review, led by Lord Darzi, gives a particular focus.
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NHS reform: National mantra, not local reality
Reform’s fourth annual health report, by Professor Nick Bosanquet, Consultant Director of Reform, et al. argues that while the Government’s commitment to NHS reform is right, it is in denial about its progress on the ground.
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Free at the point of delivery - reality or political mirage
The report shows that “top-up” health payments – extra private payments to supplement care provided by the NHS – are now common across UK healthcare. The report is authored by three practising NHS doctors and published by Doctors for Reform.
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NHS reform: the empire strikes back
The report by Professor Bosanquet et al. shows that the traditional NHS monopoly reasserted itself in 2006 against the first tentative signs of change. It finds that key reform programmes have been delayed or show disappointing progress.
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Building a world-class NHS
The report by Ian Smith shows that the absence of a vision of change and the poor quality of management in the NHS and the Department of Health is leading to waste of resources and delays in reform.
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Mental health services in the NHS: using reform incentives
The report finds that mental health services face two challenges: the need for dramatic improvements in access and fierce pressure on budgets. It argues that choice and competition will allow an efficient redeployment of resources.
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Investment in the NHS – facing up to the reform agenda
The report finds that the billions of pounds being spent on NHS hospitals and other medical units will not provide the service needed to improve standards of care, reduce waiting times and increase productivity.
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Staffing and human resources in the NHS
The report argues that the logical conclusion of the Government’s health reform agenda is a significantly smaller and higher quality NHS workforce.
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Maternity services in the NHS
Maternity services in the NHS
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Cancer Care in the NHS
The NHS in 2010
The aim of this paper is to provide an assessment of change in NHS expenditure and outputs from now to 2010. The evidence is reviewed on forward commitments and on the likely changes in levels of activity.
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A better way
A Better Way was published in April 2003. It sets out proposals for structural reform of health, education and policing.
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