The introduction of a market economy into the National Health Service caused concern about the future of specialist services. This article describes the impact of the reforms over time on two specialist services, focusing on the evolution of the contracting system, the nature of the market and the problems experienced by purchasers and providers. The article concludes that providers’ concerns about the future of their specialist services have become more acute since the introduction of the market economy. Control over their future lies in the hands of purchasers and the Government.
Public Money & Management
Volume 15, 1995 - Issue 3
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