Socialist Health Association Promoting Health through Socialism

DO THE NHS REFORMS MAKE SENSE?

Julian Le Grand, London School of Economics
Bristol 28/1/06

Problems with ‘Old’ NHS:

Unreformed NHS: equity problems

NHS Reforms

Logic of Reforms

  1. Patient choice. Intrinsic and instrumental.
  2. But, if choice is to provide the right incentives, needs reward for success, penalty for failure. HenceBR – money following choice.
  3. But also choices must exist. Evidence that new providers offer most effective contestability. Hence Independent Sector Treatment Centres and Foundation Trusts.
  4. But danger of over-treatment. Hence Practice Based Commisioning.

Reforms: risks

Conclusion

last updated 6/02/06