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Changing Health Care Systems

Changing Health Care Systems OPINION Pieter Degelingl, David J Hunter’ and Barrie Dowdeswcll’ University $New Soittlz Walcs aid ’University ofDirrham Btrsiness Sclzool ensure that a ‘floor’ level of acceptable THE NHS PLAN: DIAGNOSIS AND performance is achieved throughout the NHS. PRESCRIPT I0 N ‘Yellow’ organisations will be meeting all or most Health care reform continues to be an international pre- national core targets, but will not be in the top occupation as countries seek to square the circle of rising 25% of [organisations]. demand and limited resources. In the UK, and building ‘Green’ status reflects both outstanding absolute on changes already in hand, the National Health Service performance against core national targets and (NHS) Plan is the latest attempt to engineer a new deliv- relative performance against [wider] measures.. . . ery system that is both patient-centred and based around Green-light NHS organisations will be accorded the NHS as a ‘high trust’ organisation . greater autonomy. (paragraph 6.27) Central to the NHS modernisation project is fash- ioning a new relationship between centre and periph- Much of the Plan is directed towards redesigning the ery. The government has eschewed both the way health services work. Central to this is the command-and-control and market models http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Integrated Care Pathways SAGE

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Publisher
SAGE
Copyright
© 2001 SAGE Publications
ISSN
1473-2297
DOI
10.1177/147322970100500205
Publisher site
See Article on Publisher Site

Abstract

OPINION Pieter Degelingl, David J Hunter’ and Barrie Dowdeswcll’ University $New Soittlz Walcs aid ’University ofDirrham Btrsiness Sclzool ensure that a ‘floor’ level of acceptable THE NHS PLAN: DIAGNOSIS AND performance is achieved throughout the NHS. PRESCRIPT I0 N ‘Yellow’ organisations will be meeting all or most Health care reform continues to be an international pre- national core targets, but will not be in the top occupation as countries seek to square the circle of rising 25% of [organisations]. demand and limited resources. In the UK, and building ‘Green’ status reflects both outstanding absolute on changes already in hand, the National Health Service performance against core national targets and (NHS) Plan is the latest attempt to engineer a new deliv- relative performance against [wider] measures.. . . ery system that is both patient-centred and based around Green-light NHS organisations will be accorded the NHS as a ‘high trust’ organisation . greater autonomy. (paragraph 6.27) Central to the NHS modernisation project is fash- ioning a new relationship between centre and periph- Much of the Plan is directed towards redesigning the ery. The government has eschewed both the way health services work. Central to this is the command-and-control and market models

Journal

Journal of Integrated Care PathwaysSAGE

Published: Aug 1, 2001

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