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Health System Reforms in NHS England: Context, Culture, Power

May 01, 2009

“Founded in 1948, [the National Health Services (NHS) was characterized by] red tape, outdated systems, old-fashioned demarcations between staff and barriers between services led to unnecessary delays and an aversion to taking initiative, which it was argued stifled service improvement and innovation. … The political orthodoxy held that the NHS was no longer governable, and had become too inefficient to make effective use of scarce resources.” – Jamie Burn

As part of our exploration of England’s successful healthcare reforms and their lessons for integrating care in Ontario, The Change Foundation interviewed UK policy expert Jamie Burn, who also reviewed our England/Ontario case study. In this in-depth Q&A, Burn provides rich detail on the history of the NHS, why it had to modernize and how it did so, and what accounts for its willingness to experiment with structural reform.

Read the Q&A

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