...
首页> 外文期刊>BMJ: British medical journal >Reorganisation of the NHS in England There is little evidence to support the case for yet more structural change
【24h】

Reorganisation of the NHS in England There is little evidence to support the case for yet more structural change

机译:在英格兰的健保改革很少有证据支持更多结构变化

获取原文
获取原文并翻译 | 示例
           

摘要

For many healthcare professionals and managers working in the NHS, last week's publication of the white paper Equity and Excellence: Liberating the NHS brought unwelcome but familiar news-that the new government plans to reorganise the NHS in England.1 Despite having promised just two months ago in the coalition government's agreement to "stop the top-down reorganisations of the NHS that have got in the way of patient care,"2 the new secretary of state, Andrew Lansley, announced plans to abolish strategic health authorities and primary care trusts; to create about 500 new general practitioner consortiums to handle healthcare commissioning; to hand over public health responsibilities to local authorities; to strip the Department of Health of many of its functions and to create an independent NHS board to take them on; to force all NHS providers to become NHS foundation trusts; and to restructure arrangements for healthcare regulation. Little of the current architecture of the NHS will survive these changes unscathed. The white paper, written at breakneck speed in about six weeks, is long on rhetoric but short on detail and specifics. It promises at least seven further strategy or consultation papers on various topics and another white paper, on public health, in the autumn.
机译:对于许多医疗专业人员和管理人员在NHS工作,上周的出版白皮书股本和卓越:解放英国国民健康保险制度带来了不受欢迎但熟悉不过新的政府计划重组NHSEngland.1尽管承诺仅两个月前在联合政府的协议“停止NHS的自上而下的重组在病人护理的方法,有“2新国务卿安德鲁·兰斯利宣布废除战略卫生当局和计划初级保健信托;全科医生联盟来处理医疗调试;健康对地方政府的责任;它的许多条卫生部功能和创建一个独立的NHS带他们;成为NHS信托基金会;安排医疗监管。当前的NHS体系结构将生存这些变化并无大碍。以惊人的速度在大约六个星期,很长言辞但缺乏细节和细节。承诺至少7或进一步的策略咨询论文各种主题和另一个白皮书,公共卫生,在秋天。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号