Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-15T01:59:02.697Z Has data issue: false hasContentIssue false
  • English
  • Français

NHS trusts

Recent government policy and legislation

Published online by Cambridge University Press:  02 January 2018

Scott Weich
Scott Weich*
Affiliation:
Section of Epidemiology and General Practice, Institute of Psychiatry, De Crespigny Park, London SE5 8AF and Bethlem Royal and Maudsley Hospital, Denmark Hill, London SE5 8AZ
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The present paper reviews the restructuring of the NHS that has taken place since 1991, with particular reference to the introduction of self-governing NHS trusts. Established to strengthen the financial management of NHS assets and to contain costs, NHS trusts represent a political solution to the problem of health service funding. Despite the speed of the reforms, there is no evidence yet of any improvement in the cost-effectiveness of resource deployment, and it is too soon to say what effect trusts will have on mental health services. Concern remains that the present reforms will ultimately lead to fragmentation of the NHS.

Type
Original papers
Information
Psychiatric Bulletin , Volume 18 , Issue 3 , March 1994 , pp. 131 - 134
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1994

References

British Medical Association (1991) Employment Contracts in NHS Trusts: Guidance note. London: BMA.Google Scholar
Cook, R. (1989) Failure to deal with underfunding. British Journal of Hospital Medicine, 42, 242.Google Scholar
Crombie, A.L. (1991) The changed status of hospitals and undergraduate medical education. British Journal of Hospital Medicine, 45, 127.Google ScholarPubMed
Crown, J.M. (1990) Impact of the White Paper on teaching and training. British Journal of Hospital Medicine, 43, 169.Google Scholar
Current Law Statutes Annotated (1990) 19: The NHS and Community Care Act (1990). London: Sweet & Maxwell.Google Scholar
Department of Health (1992) The Government's Expenditure Plans 1992–93 to 1994–95. Department of Health and Office of Population Censuses and Surveys Departmental Report. London: HMSO.Google Scholar
Department of Health (1993) The Government's Expenditure Plans 1993–94 to 1995–96. Department of Health and Office of Population Censuses and Surveys Departmental Report. London: HMSO.Google Scholar
Graham, N.G. (1989) Self-governing hospitals: A hospital manager's assessment. British Journal of Hospital Medicine, 42, 234–236.Google ScholarPubMed
Griffiths, S. (1992) Community unit trusts. British Journal of Hospital Medicine, 47, 493–494.Google ScholarPubMed
Kingman, S. (1993) The Freeman Hospital: disillusionment sets in. British Medical Journal, 306, 1464–1467.Google Scholar
Lucas, S. (1991) NHS reforms: the birth of local pay determination. Public Finance and Accountancy, 26 July, 14–17.Google Scholar
Matthews, T.J. (1989) Self-governing hospitals. British Journal of Hospital Medicine, 41, 386.Google Scholar
Mott, (1993) The new NHS. British Medical Journal, 306, 1755.Google Scholar
Newchurch Health Briefing (1993) NHS Trust Briefing No 4. London: Newchurch & Co.Google Scholar
Roberts, J. (1993) US hospitals spend one quarter of funds on administration. British Medical Journal 307, 401.Google Scholar
The NHS and Community Care Act (1990) London: HMSO.Google Scholar
The Third Newchurch Guide to NHS Trusts (1993) London: Newchurch & Co.Google Scholar
Thomas, R.V.R. (1992) Psychiatrists in the new NHS. British Medical Journal 305, 834–835.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.