Last month, I reported briefly on the abandoning of targets in the NHS following revision of the Department of Health's Operating Framework.
It turns out that this was just a taste of what was to come with the NHS White Paper - probably the most radical and far reaching set of reforms since Ken Clarke's days at the Department. I think there are essentially three key areas. First, (and no one will admit it) centralisation. At an England level there will be an NHS Commissioning Board which will draw up an NHS Outcomes Framework. This will move away from the current process targets (eg waiting times) and move to outcome based ones (like mortality and morbidity). In practice, its standards will be set by NICE's new quality ...
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