• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

To what extent and why do New Labours proposals for the NHS differ from those of the previous New Right Conservative Government?

Extracts from this document...


To what extent and why do New Labours proposals for the NHS differ from those of the previous New Right Conservative Government? The creation of the NHS saw the state take on an interventionalist role providing healthcare which was fully comprehensive, universally free for all at the point of use and funded through national insurance and general taxation (Walsh et al, 2000). After a period of consensus, successive governments have scrutinised the sector leading to its attempted reforms but it is argued that there is considerable continuity between governments regardless of the party in power (Baggot, 2007). This essay will consider the proposals made by New Right and New Labour for the NHS, looking first at what influenced each party's proposals. The key area's the essay will focus upon are the internal market, GP fund holding, Primary Care Groups (PCG's) and preventative health to allow the interpretation of the extent to which New Labours proposals differ from those of the previous New Right Conservative Government. When Thatcher began her first administration, the NHS was not meeting public expectations and problems with resources and funding were becoming increasingly apparent, with furious rows erupting over the issues between politicians and the medical profession (Leathard, 1990). Thatcher considered a move to private health insurance which never materialised as it was widely rejected by her peers. ...read more.


It is argued that although there is an acknowledgement of relationships between health inequalities, finding the solution to them has been and still is very challenging (Bochel et al, 2005). New Labour has also been highly criticized for the huge contradiction of their unwillingness to tackle the alcohol and tobacco industry (Renade, 1997). New Labour had made clear the intention to abolish the internal market before they came into office. Their major criticisms of the internal market were: competition was too fierce, best practice not shared as well as perverse incentives driving staff (Klein, 1995). It is argued by that in reality the internal market had none of the features of a retail market and that 'the NHS executive drew lines of regulation and monitoring so tightly that no real competition could emerge...it seemed that the government had built a system which was paying for the costs of competition, fragmentation and perverse incentives- yet were getting none of the benefits' (Illiffe and Munroe, 2000: 315). The proposals made by Blair and Thatcher for the NHS differ immensely in terms of ideology but it is argued that although Labour emphatically criticise Conservative policies, they still build on them to a large extent (Klein, 1998). New Labour heavily opposed the internal market, yet the purchaser provider split remained in tact. Powell (1998) ...read more.


New Labour build on New Right proposals to a large extent but it doesn't seem that they are 'stealing' policies, just having to take what is there and make it better and with no new idea's is clearly evolutionary. In effect, New Labour seems to be reforming the reforms made by New Right. Reference List Baggot, R (2007) Understanding Health Policy. Bristol: The Policy Press Botchell, H., Bochel, C., Page, R., Sykes, R (2005) Social Policy: Issues and Developments. Essex: Pearson Education Ltd Blair (1997) New Labour because Britain deserves better (online) available at: http://labour-party.org.uk/manifestos/1997/1997-labour-manifesto.shtml Iliffe, S, Munro, J (2000) New Labour and Britain's National Health Service: an overview of current reforms. International Journal of Health Services (30) 2 pp309-334 Klein, R (1998) Why Britain is reorganising its National Health Service - Yet Again. Health Affairs (17) 4 Klein, R (1995) The New Politics of the NHS. Third Edition. Essex: Longman Group Ltd Leathard, A (1990) Health Care Provision: Past, Present and Future. London: Chapman and Hall Lund, B (2008) Major, Blair and the Third Way in Social Policy. Social Policy and Administration (42) 1 p43-58 Powell, M (1999) New Labour and the Third way in the British National Health Service. International Journal of Health Services [29] 2 pp 353-370 Renade, W (1997) A Future for the NHS? Health care for the Millennium. Essex: Addison Wesley Longman Limited Walsh, M., Stephens, P., Moore, S (2000) Social Policy & Welfare. Cheltenham: Nelson Thornes Ltd ?? ?? ?? ?? Student Number @00211029 - 1 - ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree UK Government & Parliamentary Studies section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree UK Government & Parliamentary Studies essays

  1. Marked by a teacher

    How revolutionary was Thatcherism?

    4 star(s)

    Within the NHS she proposed the introduction of 'private health insurance, charging for doctor's visits and increasing prescription charges'13. This was designed to save between 10 and 12 per cent14 of the NHS budget but it was an extremely unpopular move although revolutionary on the ideas of the past.

  2. Is there justification for government intervention in the uk housing market and how has ...

    Whatever the particular virtues of different tenures, the role of government ought not be encouraging households into it, but rather creating the conditions for stability, which will enable households to make proper choices. 1.2.1B MINIMUM STANDARDS Minimum standards are an efficiency and equitable issue in terms of economic theory.

  1. How efficient was the Tsarist system of government?

    Duma was dismissed just three months after it first convened in April because it was too radical with demands for land reforms and expropriation of noble-owned land. The Second Duma formed in 1907, but similarly failed to cooperate with the government efficiently, which led to its eventual dismissal after just four months.

  2. Free essay

    Assess the Perofmance of the Labour government 1929-1931

    There are a number of examples where a lack of party unification caused some of the party's policy's to be blocked and rejected in the commons. For example the "Unemployment insurance bill opposition came not from the opposing parties but from Labours own supporters"[13] Although Macdonald was seen as a

  1. How far have the reforms of the Blair Governments addressed weaknesses in the UK ...

    5 Throughout the Act, there are explicit clauses that guarantee judiciary independence by barring government ministers from trying to influence judicial decisions. In the same stream of thought, the position of the Lord Chancellor was greatly modified. The role of Lord Chancellor previously encompassed being the head of the Judiciary,

  2. Free essay

    Is there anything new about New Labour(TM)s approach to Economic Management?

    In 1976 James Callaghan took over as leader of the Labour party. Callaghan chose to continue the policy of pay restraint for a further year because for the past four years this strategy had been a moderate success. He chanced that a fifth year would lead to a further improvement

  1. public sector

    this increased the need for trade unions and wage councils, there was a increase in unemployment and people on benefits the was slow increase in wages and a big increase in taxes Ref. http://sticerd.lse.ac.uk/dps/case/cp/Paper13.pdf New labour-best value In 1997 labour won the general election and came into power with this

  2. Summarise the principal differences between old and new Labour. Which section of the Party ...

    As result of this change, Labour started to be called as ?new Labour?. The changes he made were the following: 1. Rewrote Clause Four of the party constitution: Blair made changes in the party traditional ideology and established that ?new Labour? from then on would work hard in order to

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work