Competition isn’t always the best option

John Appleby
Publication:  Health Service Journal
Reference:  21 March 2013

It is now nearly a quarter of a century since the white paper Working for Patients was published and introduced to the NHS the idea of an internal market. At the time, Ken Clarke said he wanted to see the white paper’s changes implemented gradually, rather than lighting the blue touch paper and standing back.

After 25 years of rumbling along the competition runway slowly gathering speed, it might just be wheels-up time for the NHS.

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