British journal of hospital medicine
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Changes in the National Health Service have had important effects on the way in which healthcare professionals will do their jobs in the future. In parallel there have been important developments in the training of professionals. This article analyses these changes and their consequences for health services, professionals and professions. The effects may be as great as those of the NHS reforms.
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Since the introduction of the NHS internal market, it has been necessary to price health care for contracts and extra contractual referrals. Internal markets, like conventional markets, operate via a pricing mechanism. This article describes the NHS pricing principles and the development of NHS pricing for acute hospital services in the first 5 years of the market.