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6 October 1983

Griffiths report on management in the NHS

The report of the NHS management inquiry team, led by Sir Roy Griffiths, resulted in the introduction of general management in the NHS.


Academics' development of the idea of GP fundholding

Academics and system leaders discussed the possibility of a primary health care unit being the budget holder for primary and secondary care.

26 June 1984

Registered Homes Act 1984

The Act consolidated legislation relating to residential care homes and nursing homes. It required them to be registered with the local social services authority.

12 July 1984

Health and Social Security Act 1984

The Act made family practitioner committees (FPCs) directly accountable to the Secretary of State for Health.


HoC Committee on Social Services report on community care

The House of Commons Committee on Social Services supported the concept of community care, but was concerned about the release of 'mentally disabled' people into the community without adequate support.

1 April 1985

Social Services Inspectorate (SSI)

The SSI was established as the national inspectorate for personal social services in England.

4 October 1985

Arguments for an internal market model

Alain Enthoven argued that an internal market model would offer substantial improvements over the existing NHS structures, where referrals were not tied to payment.


Audit Commission report: 'Making a reality of community care'

The commission highlighted the failure of policy and a number of problems associated with moving care into the community.

21 April 1986

'Primary health care: an agenda for discussion' green paper

The government proposed financial incentives for GPs to improve primary care.