title: Next stage review. The long and winding road.
abstract: A number of initiatives proposed in Lord Darzi's next stage review are under way or are in preparation stages, including quality accounts. It is still unclear how far middle managers and clinicians have taken the quality vision on board. Sudden economic downturn has set off a new debate over whether quality ambitions and cash savings will be compatible in the short term.
authors.forename: Daloni
authors.initials: D
authors.lastname: Carlisle
mesh_terms: D004059:Diffusion of Innovation; D006040:Goals; D018166:Health Care Reform / Q000191:economics / Q000458:organization & administration*; D006779:Hospitals, Public / Q000592:standards; D011787:Quality of Health Care; D017751:Safety Management; D013222:State Medicine; D006113:United Kingdom