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Cooperation or competition? Proposed changes in healthcare provision in England

  • Laurence Mynors-Wallis (a1)
Summary

The Health and Social Care Bill currently going through the UK Parliament seeks to further increase cooperation in the English National Health Service (NHS). The proposals are controversial in significant part because the benefits of competition in healthcare are uncertain. Will patients benefit from innovation and choice brought about by new providers of care or will the vulnerable be faced by geographically variable, fragmented and non-integrated services? Will there be financial savings to reinvest in patient care or will there be increased administration driven by the transaction costs of market driven care? This editorial advocates a cautious targeted approach for the implementation of competition in those areas where current NHS provision is poor rather than whole scale potentially disruptive change.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Laurence Mynors-Wallis (laurence.mynors-wallis@dhuft.nhs.uk)
Footnotes
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*

See commentary, pp. 443–444, this issue.

Declaration of interest

L.M-W. is Medical Director of Dorset Healthcare University Foundation Trust, an NHS provider of mental health and community services.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Cooperation or competition? Proposed changes in healthcare provision in England

  • Laurence Mynors-Wallis (a1)
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