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ARTICLE | April 21, 1989

Proposed Changes in Britain's Health Service Stir Varied Reactions, Widespread Controversy

John F. Henahan

JAMA. 1989;261(15):2174. doi:10.1001/jama.1989.03420150024005.

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ABSTRACT

BY ANY MEASURE, the proposed National Health Service changes are massive and have become the subject of widespread controversy among British physicians, nurses, patients, and all shades of political opinion.

A British Medical Association spokeswoman says that the association, which represents about three quarters of the United Kingdom's 100 000 physicians, has strong reservations about many points of the proposed changes.

Among the proposed changes are the following:

Most pertinent to the Guy's Hospital management scheme, 320 of England's 2000 hospitals will be given the opportunity to "opt out" of health authority control (the National Health Service) and operate mainly on a freemarket basis. They will be able to set their own salary schedules, while receiving partial payment for their operations from the National Health Service, from contracts with general practitioners for treatment, and from other hospital trusts.
. One hundred new consultants. cialist hospital physicians) will be appointed within the

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Henahan JF. Proposed Changes in Britain's Health Service Stir Varied Reactions, Widespread Controversy. JAMA. 1989;261(15):2174. doi:10.1001/jama.1989.03420150024005.

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