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‘There's the end of an auld sang’: Farewell to the NHS market
Author(s) -
Paton Calum
Publication year - 2021
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.3173
Subject(s) - white paper , government (linguistics) , teleology , politics , white (mutation) , social care , public administration , political science , political economy , economic history , sociology , law , history , medicine , nursing , philosophy , linguistics , biochemistry , chemistry , gene
The new White Paper, Integration and Innovation, prefiguring a Health and Social Care Bill for England, means that the NHS structure in England will have come full circle in the last 32 years, since the Thatcher government began in 1989 to implement the reforms announced that year in the White Paper, Working for Patients (incidentally without waiting for parliamentary approval, which came in 1990). This will be denied by some, who will depict the ‘new’ integration as only being possible as a result of learning during the various phases of reform over the last 30 years. This is a fallacious teleology. It is argued here that, while the ‘old’ NHS of the 1980s (of course) required improvement, the persistent ‘reforms’ of the last 30 years or so have been based on political fads which have been both hugely expensive and, in the end, transitory and self‐defeating.