The politics of purchasing in the national-health-service

Salter, B. (1993) The politics of purchasing in the national-health-service. Policy and Politics, 21 (3). pp. 171-184. ISSN 0305-5736. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

The full text of this publication is not available from this repository. (Contact us about this Publication)


With the 1992 NHS reforms and the introduction of the internal market a new political game has begun where, for the first time, the rationing of the supply of health care to make it fit unlimited demand is the explicit responsibility of purchasing agents (DHAs, FHSAs and GP Fundholders). This paper analyses the inherent clash between purchaser rationing and traditional NHS values, the unbridled pluralism of the gameplay surrounding the purchaser function, and the absence of accepted rules and procedures. It concludes by reviewing the implication of the reforms for the distribution of power in the NHS.

Item Type: Article
Subjects: J Political Science
R Medicine
Divisions: Faculties > Science Technology and Medical Studies > Kent Institute of Medicine and Health Sciences (KIMHS)
Depositing User: O.O. Odanye
Date Deposited: 25 Jul 2009 02:11
Last Modified: 25 Jul 2009 02:11
Resource URI: (The current URI for this page, for reference purposes)
  • Depositors only (login required):


Downloads per month over past year