Burke L M
Faculty of Health, South Bank University, London SE1 0AA, England.
J Adv Nurs. 2000 Apr;31(4):865-74. doi: 10.1046/j.1365-2648.2000.01363.x.
In November 1997 The New NHS - Modern, Dependable was published, describing the British Labour government's plans to introduce major changes to the NHS (National Health Service). Education and Training Consortia (ETCs) were only briefly referred to and no direct changes were proposed to them. It can be argued that this was because they had not fitted well within the Conservative government's competitive culture of the NHS internal market. Education Consortia members share information, make plans collectively and work collaboratively, activities much more appropriate for the 'New NHS' which is underpinned by the concepts of partnership, openness and local ownership. In this paper it is argued that there are many valuable lessons that the key individuals involved in implementing the policies of the New NHS can learn from Education and Training Consortia. Data have been drawn from a qualitative study in which the aim was to explore the development, implementation and management of consortia and contracting for non-medical education and training (NMET) from a stakeholder's perspective. One of the unexpected themes that emerged from the analysis of the data, was that the development of ETCs could be utilized as a model for many of the innovations in the New NHS, particularly in relation to the formation of primary care groups.
1997年11月，《新国民医疗服务体系——现代、可靠》出版，阐述了英国工党政府对国民医疗服务体系（NHS）进行重大变革的计划。教育与培训联盟（ETCs）只是被简要提及，且未对其提出直接变革。可以说，这是因为它们不太符合保守党政府在国民医疗服务体系内部市场的竞争文化。教育联盟成员共享信息、共同制定计划并协同工作，这些活动更适合以伙伴关系、开放性和地方自主权为理念支撑的“新国民医疗服务体系”。本文认为，参与实施新国民医疗服务体系政策的关键人员可以从教育与培训联盟中学到很多宝贵经验。数据来源于一项定性研究，其目的是从利益相关者的角度探讨联盟以及非医学教育与培训（NMET）的承包的发展、实施和管理。数据分析中出现的一个意外主题是，教育与培训联盟的发展可以用作新国民医疗服务体系中许多创新举措的典范，尤其是在初级保健团体的组建方面。
