Accountability in the UK Healthcare System: An Overview

Healthcare policy

Stephen Peckham¹ 

关键词: accountability;    United Kingdom;    decentralization;    health reform;    complexity;   

DOI  :  10.12927/hcpol.2014.23914

学科分类：地球科学(综合)

来源: Longwoods Publishing Corp.

【 摘 要 】

Recent changes in the English National Health Service (NHS) have introduced new complexities into the accountability arrangements for healthcare services. This commentary describes how the new organizational structures have challenged the traditional centralized accountability structures by creating a more dispersed system of governance for local healthcare commissioners. It sets the context of discussions about accountability in the UK NHS and then describes the key changes in England following the implementation of the NHS reforms in April 2013. The commentary concludes that while there is increased complexity of accountability within a more decentralized and fragmented healthcare system, the government's goal of achieving increased local autonomy and greater control by general practitioners (GPs) will probably not be realized. In particular, the system will continue to have strongly centralized aspects, with increased regulation and central political responsibility.

【 授权许可】

Unknown