Sociology
In the 1990 reform of the National Health Service, hospitals became:
self-governing trusts competing for purchasing contracts from health authorities
state-controlled providers, dependent on funding from the central government
increasingly detached from health authorities and providers of private health care
less inclined to run themselves efficiently, as demand for health care was falling
self-governing trusts competing for purchasing contracts from health authorities
Part of the ‘third way’ approach of the New labour government builds upon the policies of privatization in the 1980s, by advocating that the private sector should be given a greater role in the provision of public services. Both the Conservative and Labour governments used private capital to fund service provision in the National Health Service. Individual patients are said to have more choice in deciding where to be treated, and hospital funding follows patients. Through complex partnerships between the public and private sectors, hospitals became self-governing ‘trusts’ who had to compete for contracts from the local health authorities. 606-607
self-governing trusts competing for purchasing contracts from health authorities Part of the ‘third way’ approach of the New labour government builds upon the policies of privatization in the 1980s, by advocating that the private sector should be given a greater role in the provision of public services. Both the Conservative and Labour governments used private capital to fund service provision in the National Health Service. Individual patients are said to have more choice in deciding where to be treated, and hospital funding follows patients. Through complex partnerships between the public and private sectors, hospitals became self-governing ‘trusts’ who had to compete for contracts from the local health authorities. 606-607
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