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dc.contributor.authorMartin, Grahamen
dc.date.accessioned2019-10-07T23:30:17Z
dc.date.available2019-10-07T23:30:17Z
dc.date.issued2020-01-01en
dc.identifier.issn1355-8196
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/297523
dc.description.abstractIn England, the 2012 Health and Social Care Act was heralded to be among the most significant changes in policy for the National Health Service (NHS) since its inception in 1948. And indeed, it introduced major structural upheaval, and was followed by an increase in contracting for NHS services with private-sector organisations.1 Yet a key theme of the policy, namely the intensification of competition in service provision, with a pluralisation of providers and increasing choice for patients, has not fully materialised. Even as implementation of the policy began, the focus of NHS governance was already shifting from competition towards collaboration. The 2014 Five Year Forward View outlined visions for a more integrated health and care system in England.2 Subsequent guidance introduced new organisational forms, such as the so-called Sustainability and Transformation Plans and integrated care systems3,4 with their focus on strategic planning within local health care economies, making the purchaser-provider split, introduced in the English NHS in 1991, seem increasingly redundant. The appointment in 2019 of England’s first joint chief executive of a provider of NHS services and its principal ‘customer’ (clinical commissioning group)5 perhaps marks the death knell of the purchaser-provider split; it is now replaced by a more integrated, strategic and system-based approach to local health care planning and provision.
dc.publisherSAGE
dc.rightsAll rights reserved
dc.rights.uri
dc.titlePartnership and accountability in the era of integrated care: a tale from Englanden
dc.typeArticle
prism.endingPage3
prism.issueIdentifier1en
prism.publicationDate2020en
prism.publicationNameJournal of Health Services Research and Policyen
prism.startingPage1
prism.volume25en
dc.identifier.doi10.17863/CAM.44578
dcterms.dateAccepted2019-09-25en
rioxxterms.versionofrecord10.1177/1355819619882959en
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2020-01-01en
dc.identifier.eissn1758-1060
rioxxterms.typeJournal Article/Reviewen
cam.issuedOnline2019-11-05en
cam.orpheus.successTue Jun 16 10:43:14 BST 2020 - Embargo updated*
cam.orpheus.counter12*
rioxxterms.freetoread.startdate2019-11-05


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