chapter  3
23 Pages

The search for control: the NHS and its organisation from 1948 to 1982

Thischapterisconcernedwiththe'governance'oftheNHS;that is,withpoliciesdealingwiththerelationshipbetweencentral governmentandthelower-levelhealthauthorities.Untilthe reformsofthelate1980s,theNHSwashighlycentralised.In theory,thepolicydecisionsweremadebygovernment,thatis, bytheMinisterandthehealthdepartments,andimplemented bythelowerlevel.TheMinisterwasaccountabletoParliament forpolicy,planningandthequantityandqualityofservices.This chapterexaminesthechangesinthemanagementoftheNHSuntil theearly1980s,andwhytheywerethenbelievedtohavefailed.