... internal market. Health care professionals needed to be involved contracting, if it was to be effective. The study found that many infection control professionals were not, in fact, involved in contracting, while the importance of both contracts and informal professional networks were recognised...

...Norman Jones This article examines the reasons why the internal market failed to gain public acceptance and looks beyond the popular view which argued the non‐acceptance was a result of the “two tier” service and increased bureaucracy. It compares the experience of customers in the internal market...

...Bernard Burnes; Mohamad Salauroo Presents and discusses the findings from a research project into the impact of the NHS internal market on the merger of colleges of midwifery and nursing. Begins by briefly describing the major changes which have been introduced in the NHS since 1979 and sets...

...Olusola O.A. Oni There are two potential types of “internal markets”. In Type I, the patient is treated only by “contracted” providers while in Type II, he/she is free to choose a provider. The rhetoric of Working for Patients is Type II while the practice is Type I. Type I market with its...

... for the people in charge”[ 3, p. 24 ]. In 1989, Working for Patients discussed the development of some form of internal market within the service[ 4 ]. The paper suggested that provision should be made for GPs to hold their own budgets and for certain hospitals to become autonomous, self...

... is that the NHS as it stood could benefit from the introduction of internal markets, or managed competition as it has now become known, by forcing NHS units to respond to competitive pressure as occurs in the marketplace for any product. With respect to the NHS, buyers and suppliers of health care were...

...B.M. Craven; C.J. Smith Deals first, with the theoretical framework within which the Internal Market (NHSIM) is expected to operate and the particular problems which occur when a service is provided to a consumer free at the point of consumption (i.e. non‐marketed). Second, deals with some costing...

...Ian Young Disquiet has been expressed in a number of countries regarding the cost of health care provision. The UK and New Zealand have extensively reviewed funding mechanisms including the application of an“internal market” as advocated by Enthoven. Currently there is active disillusionment...