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From Hippocrates to commodities: three models of NHS governance

Newdick, C. (2014) From Hippocrates to commodities: three models of NHS governance. Medical Law Review, 22 (2). pp. 162-179. ISSN 1464-3790

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To link to this item DOI: 10.1093/medlaw/fwu010


A series of inquiries and reports suggest considerable failings in the care provided to some patients in the NHS. Although the Bristol Inquiry report of 2001 led to the creation of many new regulatory bodies to supervise the NHS, they have never enjoyed consistent support from government and the Mid Staffordshire Inquiry in 2013 suggests they made little difference. Why do some parts of the NHS disregard patients’ interests and how we should we respond to the challenge? The following discusses the evolution of approaches to NHS governance through the Hippocratic, Managerial and Commercial models, and assesses their risks and benefits. Apart from the ethical imperative, the need for effective governance is driven both by the growth in information available to the public and the resources wasted by ineffective systems of care. Appropriate solutions depend on an understanding of the perverse incentives inherent in each model and the need for greater sensitivity to the voices of patients and the public.

Item Type:Article
Divisions:Arts, Humanities and Social Science > School of Law
ID Code:37474
Publisher:Oxford University Press

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