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19 October 1990

Health Select Committee

The Health Select Committee and the Social Security Select Committee were established, replacing the Social Services Select Committee.

29 June 1990

National Health Service and Community Care Act 1990

Legislation provided for the 'purchaser/provider split'. This marked the start of an internal market in the NHS and changes to local authorities' social care functions.

1990

1990 GP contract incentives for health promotion

The new GP contract was introduced in 1990 and established incentives for general practitioners to become more involved in health promotion activity.

November 1989

'Caring for people: community care in the next decade and beyond' white paper

The paper proposed transferring responsibility for the procurement of community care services to local government.

August 1989–June 1990

Opposition to the government's NHS reforms

Despite growing opposition to the government's NHS reform programme and Thatcher's resulting concerns, Kenneth Clarke, Secretary of State, refused to back down.

29 June 1989

'Self-governing hospitals: an initial guide'

The government provided additional detail on the implementation of self-governing hospitals as outlined in the 'Working for patients' white paper.

31 January 1989

'Working for patients' white paper

The white paper proposed significant reforms to the NHS. It introduced a split between the bodies who provided care and those who purchased it, creating an internal market in the NHS.

25 January 1988

Thatcher's announcement on review of the NHS

The review produced policy ideas including creation of an internal market and GP fundholding. This formed the basis of the 'Working for patients' white paper.

1988

'Community care: agenda for action'

Sir Roy Griffiths reported on the development of community care, observing that the lack of progress was down to the lack of leadership and responsibility.

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