BMJ 2008;336:1155 (24 May), doi:10.1136/bmj.39588.659167.DB
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Health gains do not match investment in health services, says report
Owen Dyer
1 London
| The first 150 words of the full text of this article appear below. |
A decade of constant reform in the NHS has brought measurable improvement in the quality of care, but progress is uneven, gross inequalities still persist between regions, and the United Kingdom is still outperformed by other developed countries in terms of clinical outcomes.
These are the conclusions of The Quest for Quality: Refining the NHS Reforms, the last in a series of four reports on the NHS commissioned by the Nuffield Trust, an independent health policy think tank.
"It is apparent that quality within the NHS has improved," conclude the authors, Sheila Leatherman, a research professor at the University of North Carolina School of Public Health and a visiting professor at the London School of Economics, and Kim Sutherland, a senior research associate at Cambridge University, who have been studying the reform of the NHS since 1998.
But the "highly ambitious" reforms have lacked cohesion, they write, and although
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