chapter  13
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Health policy in Britain: towards the twenty-first century

Inthisconcludingchapter,Ifirstaimtoreviewthemainissues whichemergedfromthestudyofsubstantiveareasofpolicy coveredinthisbook.Ifirstlookattheconcernswhicharelikely tocontinuetobeonpolicyagendasinthe1990sinthewakeof the1990reforms-themanagementofhealthservices,resource useandcostcontainment,communitycareandgeneralpractice andthepreventionofill-health.Imaketheassumptionthatthe reformsareunlikelytobereversedalthoughthedirectionthey takemightbeaffectedbyachangeofgovernment.Conservative governmentsarelikelytocontinuetoencouragecompetitionand amixedeconomywhilealternativegovernmentsmayseekgreater equityandcentralplanning.Butwhicheverpartyisinpower, therearecertaintobecontinuingpolicyadjustmentsandchanges.