SOAS Research Online

A Free Database of the Latest Research by SOAS Academics and PhD Students

[skip to content]

Bayliss, Kate (2022) 'Can ENGLAND'S National Health System Reforms Overcome the Neoliberal Legacy?' International Journal of Health Services, 52 (4). pp. 480-491.

[img]
Preview
Text - Published Version
Available under License Creative Commons Attribution 4.0 (CC-BY 4.0).

Download (1MB) | Preview

Abstract

England’s National Health Service (NHS) is in the process of major reform as old institutional structures based around an internal “market” are being replaced with integrated care systems. The changes represent a significant shift in ethos away from commercialisation to collaboration between health providers. But the way that these policies unfold will depend on the context within which they are implemented, and three decades of neoliberal reforms have left their mark on the structure of the health system. This paper shows how a powerful, politically-connected financialised private sector has evolved alongside a weakened public system, depleted further by the pandemic. While the share of overall public health spending reaching the private sector has not increased greatly over the past decade, private financial investors are strongly embedded in some segments of health delivery, particularly mental health services where shareholder returns are boosted by financial engineering. The boundaries between private and public are increasingly blurred with the NHS treating private patients and self-payment for health services is increasingly normalised. Rather than traditional privatisation, the health system is facing a more subtle and pernicious erosion of public services across different dimensions which seems likely to continue despite the new reforms.

Item Type: Journal Article
Keywords: NHS, financialisation, privatisation, integrated care
SOAS Departments & Centres: Departments and Subunits > Department of Economics
ISSN: 15414469
DOI (Digital Object Identifier): https://doi.org/10.1177/00207314221115945
SWORD Depositor: JISC Publications Router
Date Deposited: 08 Aug 2022 11:07
URI: https://eprints.soas.ac.uk/id/eprint/37821

Altmetric Data

Statistics

Download activity - last 12 monthsShow export options
Downloads since deposit
6 month trend
49Downloads
6 month trend
56Hits
Accesses by country - last 12 monthsShow export options
Accesses by referrer - last 12 monthsShow export options

Repository staff only

Edit Item Edit Item