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In The NHS After 60, John Lister takes a fresh look at the origins and evolution of the NHS, emphasising the `reforms' which, in its sixth decade, have begun to transform the NHS into a European-style social health insurance fund, purchasing services from a variety of private- and public-sector providers.
Lister also examines the NHS in an international context and discusses recent tendencies of Scottish, Welsh and Northern Irish governments to follow alternative lines of policy. The conclusion looks at the alternatives for the future development of the NHS. Will ministers roll the wheel of history further back towards a more radical market system? Or will they move forward to a public service based on greater accountability and responsiveness to the needs and wishes of local people and those with greatest health needs?
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