title: NHS market liberalisation and the TTIP agreement.
abstract: Governments over the past three decades have undermined the founding principles of the NHS through reforms and market liberalisation. With greater involvement of commercial interests in health care, the NHS will become less democratic and transparent. Recent reforms, which were intended to improve productivity, quality and cost efficiency, have left the NHS exposed to the unwieldy model of market liberalisation and the attrition of public health care. The role of community nurses has been particularly destabilised by commissioning, as their work is difficult to measure. The advent of the Transatlantic Trade and Investment Partnership could further undermine the NHS to the benefit of international commercial interests.
authors.affiliation: Senior Lecturer, School of Nursing, University of Central Lancashire.
authors.forename: Paul
authors.initials: P
authors.lastname: Regan
authors.affiliation: Senior Lecturer, School of Nursing, Midwifery, Social Work and Social Sciences, University of Salford.
authors.forename: Elaine
authors.initials: E
authors.lastname: Ball
mesh_terms: D003152:Community Health Nursing; D004465:Economic Competition / Q000191:economics* / Q000331:legislation & jurisprudence*; D033161:Government Regulation; D018166:Health Care Reform; D006801:Humans; D007391:International Cooperation / Q000331:legislation & jurisprudence*; D011057:Politics; D013222:State Medicine; D006113:United Kingdom
keywords: NHS reforms; health policy; politics of healthcare