In this paper, the authors focus on the health system reforms as set out in Health reform in England Update and Next Steps, which can be seen as part of Toth's third wave reforms that focus on patient rights through choice and competition. The Health System Reforms were part of an evolving system that wove existing policies together and sought to incorporate future policies into the NHS. In short, it was a reform programme rather than a single event that set out the direction and momentum of reform but also established strong processes for identifying any unintended consequences, feeding back lessons learned and, in turn, for adapting the reforms over time.
Publication: Journal of Health Services Research and Policy
Reference: doi: 10.1258/jhsrp.2011.010189