Having elaborated programme theories earlier in the book to produce more detailed accounts of what appears to work, and also, under what circumstances, this chapter explores what the elaborated central control and local dynamic programme theories can tell us about NHS reform after 2010. The chapter considers the nature of the coalition government’s reorganisation, and the prospects for it working based on research evidence from previous chapters. It also compares healthcare reorganisation in England with that of the other countries in the UK. The chapter concludes by arguing against the idea that choice and competition are a means of preventing bad care.
May 2022 onwards
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