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Healthcare services have been changing at an amazing speed over recent years, in part due to demands from society for improvements in clinical care and equality in provision. In the United Kingdom, some serious clinical failings, such as variations in breast cancer treatment, have been publicized widely, helping clinical quality to evolve into a public confidence issue. Quality first arrived on the UK government agenda in 1990 in two White Papers: Working with Patients (Department of Health 1989) and Care of People (Department of Health 1989). Both of these papers addressed care in the community, and were released under the previous government where a market‐economy approach was prominent. With a change in government in the UK from the Conservative to the Labour Party, came major changes in the National Health Service (NHS), described as the ‘Modernisation Agenda’. The internal market, which had been established by the previous government, was abolished, and plans to modernize the NHS, with the emphasis on quality care for the patient, were laid down. The consultation paper A First Class Service; Quality in the New NHS (Department of Health 1998) detailed proposals to support the delivery of consistent, higher‐quality care for patients. Four further
European Journal of Cancer Care – Wiley
Published: Mar 1, 2007
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