London's Hospital System

The entry point of this site, and how to contact the author
The 50th anniversary, a changing society and consumer involvement, the media and Internet
Labour's first decisions about NHS structure. New NHS - Modern, Dependable. Organisational developments in hospital trusts, health authorities and primary care trusts.
The second wave of change, under Alan Milburn, organisational and financial developments, the NHS Plan, NHS University, Shifting the Balance and Wanless, Strategic Health Authorities, NHS foundation trusts.
Clinical mishaps and problems, clinical governance, regulation, NICE and CHI
Developments in clinical science by specialty, and in the drug treatment of disease
The end of fundholding, primary care groups and trusts, changes in general practice and primary care, personal medical services, NHS Direct, and GP contracts
Rationing, Waiting lists, treatment in Europe, bed numbers, design and development, human resources, PFI, Private Practice, London issues and NHS informatics
Medical education and medical schools; staffing, recruitment problems in hospital and general practice, consultant contracts and private practice
Nurse education and staffing, nursing practice and nursing management
What have been the themes of the last five years?
Concise account of 50 years of the NHS
From Cradle to Grave - Introductory chapter on the inheritance of the service
From Cradle to Grave chapter 5, 1988-1997
The text of Rivett's first book, The development of the London Hospital System, 1823-1982
A new chapter on 1982-2002 is in draft form