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Comparative case studies of health reform in England

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Comparative case studies of health reform in England

This draft research report examines the impact of the Department of Health's 2005 “next steps” reforms programme.

The reforms intended to provide a coherent and mutually supporting set of reforms that together would lead to better care, better patient experiences, and better value for money.  The report concludes that the next steps reforms do not appear to comprise a coherent and mutually supportive set of arrangements in general terms and that they appear to favour suppliers over commissioners, and while achieving much positive impact, they have not delivered their full promise.