Further tales from the British National Health Service.
This paper focuses on the reforms to the British National Health Service (NHS) undertaken by the Labour government of Tony Blair. It is argued that these reforms do not seem to be delivering the improvements in services that might be expected, given the large increase in NHS resources that the government has also provided. The paper discusses some possible explanations for this, focusing on capacity constraints and on conflicting incentive structures for the key actors.
Le Grand
Julian
J
London School of Economics.
D003299:Cooperative Behavior; D003362:Cost-Benefit Analysis; D004465:Economic Competition; D017598:Efficiency, Organizational / Q000706:statistics & numerical data; D018166:Health Care Reform; D005102:Health Expenditures / Q000706:statistics & numerical data / Q000639:trends; D006280:Health Workforce; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D009042:Motivation; D011057:Politics; D013222:State Medicine / Q000458:organization & administration* / Q000592:standards; D017749:Total Quality Management; D006113:United Kingdom