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Dismantling the NHS?Evaluating the Impact of Health Reforms$
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Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to University Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

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date: 19 August 2017

The central management of the English NHS

The central management of the English NHS

Chapter:
(p.87) Five The central management of the English NHS
Source:
Dismantling the NHS?
Author(s):

Scott L Greer

David Rowland

Holly Jarman

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0005

The English NHS, serving over fifty million people, is one of the largest health care systems in the rich world. Because of this, the NHS’s political directors have long been preoccupied with making the NHS respond to its political direction. Since its creation in 1948, there have been constant attempts by Ministers to keep the NHS under central political control in ways which are commensurate with the political salience of the service, and the high levels of taxpayer funds which pay for it. This chapter discusses the central management of the NHS and reviews the central management of the NHS in 2010, then focusing on the architecture proposed for it by the Coalition reforms and its subsequent evolution.

Keywords:   NHS, Coalition reforms, central management, political direction, health care

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