Seven years of feast, seven years of famine: boom to bust in the NHS?

Maynard, Alan; Street, Andrew
April 2006
BMJ: British Medical Journal (International Edition);4/15/2006, Vol. 332 Issue 7546, p906
Academic Journal
This article discusses the effects of rapid increases in expenditure on reform within Great Britain's National Health Service (NHS). NHS service improvements have been unable to match the pace of expenditure increases. The problem lies in the overriding of spending controls around the funding, even after Britain's government chose to develop regulatory bodies, such as the National Institute for Clinical Excellence (NICE), to monitor spending. NICE failed to cap spending because it did not sanction and expedite the removal of redundant technologies. NICE also suffered from the uneven implementation of its core strategies due to local financial constraints. Services could be further constrained by a decrease in federal expenditure for the NHS after the year 2008.


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