Journal of nursing management
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Comparative Study
From competition to collaboration in the delivery of health care: England and Scotland compared.
The purpose of this paper is to outline and critically appraise the NHS reforms that were operationalized in April 1999. ⋯ The paper concludes by indicating that a major challenge exists in the change management agenda with reference to primary care. Thus, while differences exist both north and south of the border, a shared feature is that the change management agenda in both England and Scotland is formidable. The main element of this challenge is that GPs have, in different ways, had to be drawn into the mainstream of the NHS.