Changing Pattern Of Provision In Health And Social Care Study

5. Changing pattern of provision : Private Sector & Third Sectors’ involvement

During the Thatcher government, the concept of privatization in medical services was attempted limitedly. The private companies were permitted to build medical facilities and lend them to NHS for some periods. This was for supplementing the deficient NHS facilities and could serve as a momentum to increasing the role of private sector(Deakin, 2002). Futhermore, recent Cameron government’s reform has made it possible for private hospitals to compete with NHS Trust Hospital equally.

In terms of the third sector, its role has been expanded in the health care service. In 1997, the New Labor Government announced "Transforming Community Service Program(TCS)". That program

Secondly, health care staffs of social enterprises will be able to participate more actively than before in the service delivery system, whereas there can also be a danger of falling into organizational bureaucracy by force of institutional inertia in the health care system.

Thirdly, there is a possibility that the quality of health care services gets better from desirable competition between public sector and third sector under the market pressure, on the contrary, there is probability of forming another service monopoly structure, and there is also chance of that RtR organizations do nothing to improve the health care services according to the commissioners.

6. Critical Analysis of the impact of the changes in

Thus, the role of the public sector is still absolute in NHS. Although there was an attempting to expanding the role of the market in the Thatcher government, the fundamental responsibility of public sector in NHS by the Beverage Report could not be reduced largely(Blakemore and Warwick-Booth, 2013). Consequently, the main contents of the reforms so far were improvement mainly in terms of operational aspects such as the NHS organization and the way of executing budget. And the changes in the ratio regarding the sectors’ role may be little in the future unless there is a social consensus. In particular, attempts to draw market's further participation should be carefully considered in view of social problems such as disparities in receiving medical treatments according to regions and classes not to damage the core of the NHS, a universal