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    While the NHS in England has embraced patient choice and provider competition, the other three health systems of the UK have taken alternative routes in the quest for improved health services. Since 2004 Scotland’s approach has been to remove the purchaser-provider split and unify management into territorial Health Boards responsible for all health services in a geographical area. Last month’s much-publicised Nuffield Trust and Health Foundation report comparing the performance of the four systems concluded that (with the exception of Wales, which is falling behind on some key indicators) the remarkable structural differences which are now evident within the ‘UK NHS’ are […]
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