Five-year health check : a review of Government health policy 1997-2002

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This publication reviews the Labour Party's inheritance when it came to power in 1997, its early promises and its actions to date. It analyses performance against pledges in the areas of funding, waiting, rationing, primary care, workforce, quality assurance, the private sector, long-term care, patient and public involvement and health inequalities. The review concludes that Labour has achieved some important and far reaching reforms, not least setting up new organisations to improve the quality of care patients receive and opening up access to primary care, for example through NHS Direct. But the review also shows serious gaps in Labour's record. Too much store has been set on structural solutions to problems caused by decades of under-investment and over-centralisation. The report finds that the government is travelling in the right direction, towards a more robustly funded NHS, improved standards of health and social care, more patient-centred services and a system that is trying to reduce health inequalities. But it has raised public expectations of the NHS, putting it under enormous pressure.

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