chapter  9
26 Pages

The 1990 NHS reforms

In1989,thePrimeMinister'sReviewoftheNHS,Workingfor Patients(WFP)waspublished(SecretaryofStateforHealth 1989).Thegovernmentproposedtomaintainthepublicfinancing oftheNHSbutonthesupplysideofhealthcare,aninternal marketwastocreategreaterefficiencythroughincreasedcompetition.Afterlegislation,inthe1990NHSandCommunityCare Act,thereformswereimplementedinApril1991intheNHS.The communityreforms,discussedinChapter5,wereimplementedin April1993.