The King's Fund

Reforming the NHS from within

  • Format: Printed copy
  • Author: Chris Ham
  • Publication date: 11 June 2014
This paper reviews the impact of three approaches to NHS reform in England since the late 1990s: targets and performance management, inspection and regulation, and competition and choice. It argues for a fundamental shift in how the NHS is reformed, learning from what has worked (and what has not) in England and elsewhere.