Learning from the NHS Internal Market: A Review of the Evidence

Julian Le Grand, Nicholas Mays, Jo-Ann Mulligan King's Fund, £17.95, pp 196 ISBN 1 8571 7215 9 Rating:![Graphic][1]![Graphic][2]![Graphic][3] The reforms introduced to the NHS in 1991 have attracted enormous attention from within the United Kingdom and outside. The attempt to make the NHS more responsive and efficient by requiring hospitals and other providers to compete for resources was one of the last acts of Margaret Thatcher before she was replaced by John Major. Researchers have investigated various aspects of the NHS internal market, and this book synthesises the results. The most surprising conclusion is that the market seems to have had relatively little measurable impact. The authors … [1]: /embed/inline-graphic-1.gif [2]: /embed/inline-graphic-2.gif [3]: /embed/inline-graphic-3.gif