ABSTRACT

In 1989, the Prime Minister's Review of the NHS, Working for Patients (WFP) was published (Secretary of State for Health 1989). The government proposed to maintain the public financing of the NHS but on the supply side of health care, an internal market was to create greater efficiency through increased competition, After legislation, in the 1990 NHS and Community Care Act, the reforms were implemented in April 1991 in the NHS. The community reforms, discussed in Chapter 5, were implemented in April 1993.