Reform of the National Health Service

The United Kingdom government set out proposals for reorganising the National Health Service (NHS) in a Dec 1997 White Paper. These proposals have to be seen in the context of earlier reforms carried out in 1991. Both reform projects aim to save resources and increase the cost-effectiveness of the NHS. The NHS has been affected by long waiting lists and the closure of hospital wards. Expectations for medical care have risen, and an ageing population has also increased demand. There is speculation that charges may be made for NHS services.