A blueprint for reforming New Zealand's health service, rejected as too radical, may be imported as the framework for the future of the NHS. The prime minister's NHS review team is understood to have read the report by New Zealand entrepreneur Alan Gibbs, which proposes an internal market in which health boards would act as agents securing services from public, private and voluntary hospitals.
Management at Broadmoor Hospital has been called into question by mental health charity Mind after an inquest jury returned a verdict of accidental death on a patient who died of a heart attack following sedation.
The abolition of local health councils has been recommended to Scottish health minister Michael Forsyth in a report from management consultants Arthur Young. The proposal is believed to have prompted a groundswell of support for abolition among managers.
A£5m pilot scheme for regional pay, to allow managers to offer£500 rises to nurses in some areas, has been condemned as 'divisive' by unions. The Department of Health proposal, put to the nurses' pay review body, would be targeted on the south east.
Labour's 'green paper' on the NHS suggests that managers' performance- related pay should be linked to local health statistics and cuts in waiting lists. Shadow health secretary Robin Cook claimed broad support for the idea, though it was opposed by the Institute of Health Services Management.
Hospitals should ban eggs from patients' meals until all chickens are proved to be salmonella-free, micro-biologist Richard Lacey of Leeds University told the Commons agriculture select committee.