Three: Reorganising the NHS, 1990–2010

This chapter first considers the programme theory of the effects of the 1990s internal market reorganisation, before taking the story on to the change in government in 1997 and New Labour’s various attempts to reorganise healthcare in the 2000s. It explores the emergence of new approaches to performance management under more central government control, and institutional changes that saw attempts to get local healthcare organisations to work to central targets. It also examines patient choice and the creation of a mixed economy of care.

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