Abstract
In the UK, the government of the day has the power to change its policy by introducing new legislation in Parliament. In 1989 the government heralded the largest single set of reforms in the National Health Service (NHS) since 1948 by the publication of two White Papers in 1989: Working for Patients (DoH) and Caring for People (Secretaries of State for Health, Social Security) and a new structure was introduced, operating from 1 April 1991. The structure is headed by the Secretary of State for Health, who is answerable to Parliament, and has a place in the Cabinet.
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Further Reading
Cony D (ed.) (1997) Public Expenditure, Effective Management and Control, The Dryden Press, London.
NHS and Community Care Act 1990. An annual updated summary of changes in health service policy can be found in the Public Services Yearbook, published each year by Pitman Publishing, in which there is a Programme Review chapter devoted to health.
Secretaries of State for Health, Social Security, Wales and Scotland (1989), Caring for People: Community Care in the Next Decade and Beyond, Cm 849, HMSO, London.
Department of Health (1989) Working for Patients Cm 555, DoH, London.
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© 1999 Geoffrey Woodhall and Alan Stuttard
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Woodhall, G., Stuttard, A. (1999). An Introduction to Finance in the Health Service: The Role of Central Government. In: Financial Management. Essentials of Nursing Management. Palgrave, London. https://doi.org/10.1007/978-1-349-13199-0_2
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DOI: https://doi.org/10.1007/978-1-349-13199-0_2
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