Market reforms and privatisation in the English National Health Service

Date

2016

Advisors

Journal Title

Journal ISSN

ISSN

Volume Title

Publisher

Cuaderno de Relaciones Laborales

Type

Article

Peer reviewed

Yes

Abstract

The article examines developments in the marketisation and privatisation of the English National Health Service, primarily since 1997. It explores the use of competition and contracting out in ancillary services and the levering into public services of private finance for capital developments through the Private Finance Initiative. A substantial part of the article examines the repeated restructuring of the health service as a market in clinical services, initially as an internal market but subsequently as a market increasing opened up to private sector involvement. Some of the implications of market processes for NHS staff and for increased privatisation are discussed. The article examines one episode of popular resistance to these developments, namely the movement of opposition to the 2011 health and social care legislative proposals. The article concludes with a discussion of the implications of these system reforms for the founding principles of the NHS and the sustainability of the service.

Description

The item is published in Madrid, Spain in the Journal of Labour Relations. An Open Access copy in English is available by following the DOI link.

Keywords

NHS privatisation, marketization, workforce resistance

Citation

Ruane, S. (2016) Market reforms and privatisation in the English National Health Service. Cuaderno de Relaciones Laborales. 34 (2)

Rights

Research Institute

Institute of Health, Health Policy and Social Care