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Practical thinking papers
You are welcome to use this paper in whatever way you like as long as you credit its source.


A Short and Partial History of Reform of the NHS in England

A short and partial history of Reform of the NHS in England This subjective think piece explores why the introduction of management into the NHS over the last twenty years has been so relatively unsuccessful, and suggests alternative approaches.

The arguments in this paper now form part of a wider discussion about how to (and how not to) reform and renew the NHS in a book called Why Reforming the NHS Doesn’t Work: the importance of understanding how good people offer bad care.