The Health service journal
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The detail behind the Conservatives' proposed redirection of NHS reform was revealed to HSJ by health spokesman Andrew Lansley (pictured) this week. But the manifesto--analysed on these pages--has come under attack from policy players and managers alike. Professor Chris Ham of Birmingham University commented: 'If that's not micro-management then what is?'.
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Control of the tariff system should be handed over to an arms-length technical agency similar to the U. S's Medicare Payments Advisory Commission, according to HSJ columnist and former prime ministerial adviser Simon Stevens. He also warns that the 'understandable decision' to slow implementation of the new system means that the elective tariff 'will be easily gamed'.