Centralisation et décentralisation dans le Service national de santé : le cas de la médecine de ville

In the 80s and 90s, official rhetoric emphasised the notion of consumer power in the NHS. The reforms which were set up as part of the New Public Management movement were characterised by budgetary and managerial devolution to hospitals and fundholding GPs. Since 1997, New Labour has supported the p...

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Bibliographic Details
Main Author: Anémone Kober-Smith
Format: Article
Language:English
Published: Centre de Recherche et d'Etudes en Civilisation Britannique 2005-04-01
Series:Revue Française de Civilisation Britannique
Online Access:https://journals.openedition.org/rfcb/3445
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Summary:In the 80s and 90s, official rhetoric emphasised the notion of consumer power in the NHS. The reforms which were set up as part of the New Public Management movement were characterised by budgetary and managerial devolution to hospitals and fundholding GPs. Since 1997, New Labour has supported the principles of ‘localism’ and democratisation in the NHS while in practice new forms of indirect regulation by the centre have appeared. This article studies the case of primary care trusts in order to determine to what extent the government’s line has led to greater devolution and user participation at local level.
ISSN:0248-9015
2429-4373