History & Policy

Sally Sheard - Learning from history: NHS plans

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Sinopsis

Sally Sheard (Liverpool): Learning from history: NHS plans For the first 26 years, the NHS was left to run without major reform or reorganisation. Although planning emerged as a concern in the 1960s, linked to desires to increase effectiveness and efficiency, it wasn't until the 1980s, and the introduction of general management, that there was the political will or technical capacity to construct detailed, long-term plans. This paper considers the introduction of NHS plans as key political 'sticks' (rather than 'carrots') to improve performance, and discusses the impact of the increasing tension between planning and the service's ability to meet targets, such as waiting times and 'quality' of care. Sally Sheard is the Andrew Geddes and John Rankin Professor of Modern History at the University of Liverpool, with a primary research interest in the interface between expert advisers and policymakers. She currently leads a five-year Wellcome Trust funded project; The Governance of Health: Medical, Economic and M