• 1990June

    NHS reorganisation: Creation of an internal market is facilitated through the National Health Service and Community Care Act 1990.

  • 1990

    Image credit: Public Health Image Library, #7873, CDC/ CDC Connects.

    The new GP Contract [pdf] provides incentives for more health promotion and to provide better care for patients.

  • 1990

    The Human Fertilisation and Embryology Act 1990.

  • 1991June

    Image credit: Public Health Image Library, #8295, CDC.

    The 1991 White Paper, Health of the nation, identifies a number of important areas for improving health, including cancer, coronary heart disease, mental health and HIV/AIDS.

  • 1991

    Every household should know its rights under the NHS.
    Secretary of State for Health, William Waldegrave, 5 November 1991

    The Patient’s Charter stresses the patient as a customer with rational expectations.

  • 1992October

    It is essential that work be put in hand now to plan for a more appropriate level of capacity.
    Tomlinson Report (1992)

    The Tomlinson Report into London’s health services attempts to defuse major political dissent about the future of much-loved and ancient hospitals.

  • 1992

    The White Paper, The Health of the nation, targets improvement in five key areas.

  • 1994

    Image credit: iStockphoto # 10501389.

    NHS reorganisation: The number of regional health authorities is reduced to eight.

  • 1996January

    Image: John Major, Prime Minister at the time. Credit: Wikimedia Commons, 1996 © PFC TL Hall-Leahy, USA.

    Three White Papers are released: Choice and opportunity, Primary care: Delivering the future and The NHS: A service with ambitions.

  • 1997

    Increasing choice in primary care – the NHS Primary Care Act 1997.

  • 1997December

    If you are ill or injured there will be a National Health Service there to help, and access to it will be based on need and need alone.
    Department of Health (1997) The new NHS: Modern, dependable.

    Labour comes to power and publishes the White Paper, The new NHS: Modern, dependable.

  • 1998April

    The unacceptable variations that have grown up in recent years must end.
    Department of Health (1998) A first class service: Quality in the new NHS.

    The National Institute for Health and Clinical Excellence (NICE) is established.

  • 1998June

    There are no quick fixes, but progress is possible and can be achieved.
    The Bristol Royal Infirmary Inquiry (2001) Learning from Bristol.

    A public inquiry is announced to understand the failings of the Bristol Royal Infirmary in providing care to children receiving cardiac surgical services.

  • 1998November

    Inequalities by socioeconomic group, ethnic group and gender can be demonstrated across a wide range of measures of health and the determinants of health.
    Department of Health (1998) The Acheson Report.

    The Acheson inquiry into inequalities in health.

  • 1998

    NHS Direct is here to make a difference to the lives of people in England, 24-hours a day, 365 days a year.
    What is NHS Direct? on www.nhsdirect.nhs.uk.

    NHS Direct, a national health line providing expert health advice and information, is established.

  • 1999March

    The Royal Commission on Long Term Care reviews the options for the ongoing funding of long-term care of older people.

  • 1999April

    Bringing the NHS back to the people and ensuring that the staff work together instead of fighting among themselves.
    Laura Moffatt MP, 13 April 1999

    NHS reorganisation: GP fundholding is abolished; new primary care groups (PCGs) are established.

  • 1999July

    We are putting forward the first comprehensive Government plan focused on the main killers: cancer, coronary heart disease and stroke, accidents, mental illness.
    Department of Health (1999) Saving lives: Our healthier nation.

    The Labour Government’s White Paper, Our healthier nation, follows up on a previous paper by the Conservatives in 1992.