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White paper
White paper







  • Regional, district and family practitioner management bodies would be reduced in size and reformed into more business-like organisations with executive and non-executive directors.
  • Large GP practices (with a registered population of at least 11,000 patients) would be able to apply for their own budgets to procure services directly from hospitals.
  • An additional 100 consultant posts would be created over 3 years (the posts were in addition to the planned 2% annual expansion in consultant numbers).
  • Money would follow the patient across administrative boundaries, with health authorities being able to obtain services from NHS hospitals outside their area or from the private sector.
  • Trusts would also be able to set the rates of pay for their own staff and borrow money to respond to demand. Trusts would earn revenue from the services they provided, thereby giving them a greater incentive to attract patients.
  • Hospitals would be allowed to apply for self-governing status as NHS hospital trusts.
  • Functions were to be delegated to a local level.
  • The white paper proposed seven key measures: The best run services are those in which local staff are given responsibility for responding to local needs.’ It is convinced that it can be done only by delegating responsibility as closely as possible to where healthcare is delivered to the patient - predominately to the GP and the local hospitals. The main question it has addressed in its review of the NHS has been how best to achieve that.

    white paper

    ‘The government wants to raise the performance of all hospitals and GP practices to that of the best.

  • reward those working in the NHS who managed to successfully respond to local needs and preferences.
  • give patients better healthcare and greater choice.
  • The two main objectives of the white paper were to:

    white paper

    The provisions in the white paper were realised through the National Health Service and Community Care Act 1990. The white paper proposed some of the most significant reforms in the history of the NHS and introduced a split between the bodies who provided care and those who purchased it, creating an internal market in the NHS. Visit or follow us on Facebook, LinkedIn, Instagram, and Twitter.The government published the white paper Working for patients in January 1989.

    white paper

    In 2021, the group's revenue was DKK 77.7 billion (EUR 10.4 billion). Ørsted's shares are listed on Nasdaq Copenhagen (Orsted). Headquartered in Denmark, Ørsted employs 7,292 people. Ørsted ranks as the world’s most sustainable energy company in Corporate Knights' 2022 index of the Global 100 most sustainable corporations in the world and is recognised on the CDP Climate Change A List as a global leader on climate action. Ørsted is the only energy company in the world with a science-based net-zero emissions target as validated by the Science Based Targets initiative (SBTi), and Ørsted aims to deliver a net-positive biodiversity impact from all new renewable energy projects it commissions from 2030 at the latest. Moreover, Ørsted provides energy products to its customers.

    white paper

    Ørsted develops, constructs, and operates offshore and onshore wind farms, solar farms, energy storage facilities, renewable hydrogen and green fuels facilities, and bioenergy plants. The Ørsted vision is a world that runs entirely on green energy.









    White paper