Reform of the National Health Service

Article Abstract:

The United Kingdom government set out proposals for reorganising the National Health Service (NHS) in a Dec 1997 White Paper. These proposals have to be seen in the context of earlier reforms carried out in 1991. Both reform projects aim to save resources and increase the cost-effectiveness of the NHS. The NHS has been affected by long waiting lists and the closure of hospital wards. Expectations for medical care have risen, and an ageing population has also increased demand. There is speculation that charges may be made for NHS services.

Health care reform

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The public sector; health care and the 'internal market.'

Article Abstract:

The UK government, alarmed by the rise in costs of the National Health Service (NHS), has sought to introduce management reform. The 'internal market' means that competition can be used between purchasers and providers of health services. Funds are given to management who can then pass money on to doctors to 'buy' the best services for their patients, outside the area if necessary. Some hospitals will also administer themselves, rather than at district level. There has been criticism of the internal market of the NHS.

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New Labour, poverty and social security

Article Abstract:

The UK Labour government's policies on inequality and poverty have focused on ensuring a greater incentive to work and an improved distribution of income towards poorer social groups. The main incentive in the social security area is the Working Families Tax Credit, which will be a type of negative income tax. This benefit will be more generous than Family Credit, being available to around a fifth of all families. The effective marginal rate of tax on families currently receiving Family Credit will be reduced.

Welfare reform

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