The NHS could benefit from using some tools of managed care developed in the US, a report by Peter West, senior lecturer in health economics at the United Medical and Dental School of Guy's and St Thomas' Hospitals, has concluded. In his Office of Health Economics report, Dr West says the UK health service could be improved by the introduction of protocols defining the care patients should be given and checking they have received it.

Managed Care: a model for the UK? OHE, 12 Whitehall, London SW1A 2DY.£10.