Market reforms and privatisation in the English National Health Service

The article examines developments in the marketisation and privatisation of the English National Health Service, primarily since 1997. It explores the use of competition and contracting out in ancillary services and the levering into public services of private finance for capital developments through the Private Finance Initiative. A substantial part of the article examines the repeated restructuring of the health service as a market in clinical services, initially as an internal market but subsequently as a market increasing opened up to private sector involvement. Some of the implications of market processes for NHS staff and for increased privatisation are discussed. The article examines one episode of popular resistance to these developments, namely the movement of opposition to the 2011 health and social care legislative proposals. The article concludes with a discussion of the implications of these system reforms for the founding principles of the NHS and the sustainability of the service.

From Pro-Franco to Anti-Government. The Evolution of the "Sur" regarding National Politics during the Spanish Transition (1975-1978)

The Spanish transition, the political process through which Spain ceased to be a dictatorship to become a democracy, was accompanied by the dissolution of the National Movement, the institutional support for the chain of the Movement Press from its beginnings, in April 1977. This fact, among others, contributed to the /Sur/, the regional reference newspaper for the chain in Andalusia, evolving both structurally and ideologically to adapt itself to the new political regime. This study applies content analysis to editorials, articles and columns published by the newspaper between 1975 and 1978, exploring the process through which the regional newspaper edited in Málaga abandoned its propaganda function with regard to the Government, considering it undemocratic, and supported the PSOE, presenting it as the best alternative to the UCD in the Spanish Executive, thus taking on its role as a political agent.