Responsibility for the NHS has devolved to the components of the United Kingdom, with the NHS in England being managed by the Department of Health which takes political responsibility for the services (National). It controls 28 Strategic Health Authorities which oversee all NHS trading operations in a particular area.
The NHS of Wales is operated and man
"Chief Executive's Report to the NHS: December 2005." 2005. 17 Dec. 2005.
"National Health Service." 2005. 17 Dec. 2005.
Feachem, Richard G.A., Sekhri, Neelam K., & White, Karen L. "Getting more for their dollar: a equality of the NHS with California's Kaiser Permanente." British Medical Journal, (324)(2002):135-143.
In Kaiser, primary care physicians cover many specialties, where as in the NHS they are general practitioners, so Kaiser is able to perform more procedures at the primary level and free up referral specialists for more complicated cases (Feachem, Sekhri and White). The growing caper in the NHS is the waiting problem at all levels: waiting to see a general practitioner, waiting to see a specialist, waiting for tests, waiting for hospital admission and waiting for surgery. hold times at Kaiser were much shorter.
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