The government’s health reform programme since 2000 has covered many aspects of the organisation
of health care and was accompanied by a sizeable increase in spending on healthcare. Many of these
reforms have the potential to improve the efficiency and responsiveness of the health care system and
ultimately health outcomes, although it is too early to make definitive judgements on their effectiveness.
This chapter provides an overview of the organisation and financing of the National Health Service,
reviews its performance, assesses the reforms since the start of the decade and provides recommendations
for further development. This Working Paper relates to the 2009 Economic Survey of the United Kingdom (www.oecd.org/eco/surveys/uk).
The English National Health Service
An Economic Health Check
