1 April 1991
These trusts assumed responsibility for the ownership and management of hospitals, previously managed or provided by regional, district or special health authorities.
The government launched the Citizen's Charter to redefine the relationship between citizens and public service, seeking to set out the rights and entitlements of patients.
The paper outlined a health policy framework for the next 5 years and applied a strategic approach to population-wide health improvement.
In 1992, the Conservative government introduced private finance initiatives (PFI). The main objective was to harness the private sector's efficiency, management and commercial expertise.
A total purchasing pilot (TPP) scheme was launched, allowing GPs in a locality to purchase all hospital and community health services for their patients.
The Health Committee published a report on purchasing, endorsing a separation between strategy and operational delivery as an approach to priority setting.
28 June 1995
Legislation gave carers the right to ask for an assessment of their needs and ability to care for a person who was being assessed for eligibility for community care services.
The Act replaced regional health authorities, district health authorities and family health services authorities with regional NHS executive offices.
20 March 1996
Following years of denial by the government and industry, the Secretary of State for Health acknowledged that the BSE disease had spread to humans.
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