Healthcare Reform in The NHS England: More Lessons For Ontario

Two years of complex, politically charged bargaining led to the passage of healthcare reform legislation in 2012 that promised to transform England’s National Health Service (NHS). This report – the third in our series comparing health system reform in England and Ontario – describes the journey to enacting England’s Health and Social Care Act 2012 and summarizes the dramatic changes as they were about to come into effect. As quality-focused system initiatives continue here in Ontario, we again reflect on the lessons we can draw from England’s bold experiments, particularly in the areas of patient engagement, performance measurement, and accountabilities for service provision and quality of care.

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