PubMed · 10164581
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J Greene. 1997-02-10. Systems. Does integration really cut costs?. https://pubmed.ncbi.nlm.nih.gov/10164581/
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At present, NHS managers are highly constrained, suffering excessive regulation and central control. More autonomy for trusts would mean fewer directives and less performance management. Giving trusts a new organisational form, such as a public interest company or foundation hospital, might be reinvigorating and would not involve further reorganisation. These new freedoms should be accompanied by new accountabilities, not solely to politicians but to independent NHS regulators, local communities and patients. Devolved power and greater patient choice could produce a more responsive NHS. Its potential needs to be explored through experimentation and evaluation.
Putting six advice workers into general practices for three hours a week over 10 months resulted in 500,000 Pounds being identified in benefits for patients. Many referrals came from GPs, but patients referred themselves in a fifth of cases. Patients welcomed the service and found it convenient. The co-operation of reception staff was vital.
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