NHS Plc: The Privatisation of Our Health Care
How this has come about - to the point where even the shrinking core of free NHS hospital services is being handed over to private providers at the taxpayers' expense - is still not widely understood, hidden behind slogans like 'care in the community', 'diversity' and 'local ownership'. Allyson Pollock demystifies these terms, and in doing so presents a clear and powerful analysis of the transition from a comprehensive and universal service to New Labour's 'mixed economy of health care', in which hospitals with foundation status, loosely supervised by an independent regulator, will be run on largely market principles.
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acute hospital Alan Milburn allocation areas assets became bed numbers British Medical Journal budget capital cent charge chief executives clinical closures Commission community health companies corporations costs Department of Health doctors domiciliary efficiency elderly example facilities fees for-profit foundation trusts fundholding funding government's Group Guardian Healthcare hospital services hospital trusts income increasingly independent sector industry internal market investment Julia Drown Kaiser Permanente Laing and Buisson London long-term ment million mixed economy National Health Service NHS Direct NHS hospitals NHS patients NHS Plan NHS trusts NHS's nursing homes older operating organisations outsourcing PCTs PFI hospital Pollock population practice premises Private Finance Initiative private health private patients private sector privatisation profit public health reduced residential responsible revenue risk Royal staff strategic health authorities surgery teaching hospitals tion treatment universal health care University College London