Abstract
Roger Hadley, Roger Clough Cassell, £15.99, pp 226 ISBN 0 304 33525 8 The 1990 NHS and Community Health Act was a watershed for all of us working in healthcare. The act established the internal market, the central tenet of which is that health is a commodity that can be bought and sold and hence needs to be measured quantitatively. This is a testable proposition, but the reform was not introduced in an experimental vein. It was imposed without consultation with the NHS workforce, in the belief that it would work. In this respect it can be seen as an example of what Popper termed “utopian engineering.” Six years after the act, is …
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