Britain's National Health Service (NHS) has been the subject of unprecedent
ed market reforms, which have failed to solve its problems. The New Labour
government elected in 1997 has halted the drive toward the marketization of
health care and replaced cost with quality as the central concern of NHS a
dministration and policy. Major changes are occurring in the regulation of
professional activity, with profound implications for the medical professio
n and the health service. The authors discuss these changes and possible fu
ture problems for the NHS.