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Reports the launching of the British government's white paper on health service. Identification of hospitals covered by the National Health Service trusts; Features of the white paper; Arguments on hospital privatization.

Focuses on the criticisms of the Central Committee for Community Medicine and Community Health on the white paper 'Working for Patients' in Great Britain. Prevalence of the concept of short stay services and general practice; Vagueness in the role of private hospitals and community health service; Uncertainty in the impact of the structure on public health doctors.

Reports the effects of the proposal of Mr. Kenneth Clarke on medical academics in Great Britain. Importance of undergraduate teaching in general practice; Introduction of legal framework for self governing hospitals by the government; Advantages of the proposed system for consultant contracts and job descriptions.

Announces the additional 40 million pound for the implementation of Working for Patients in Great Britain. Costs of work on self governing hospitals and general practitioner practice budgets; Allocation for staffs; Implication of the white papers proposals.

Reports on a study of accident and emergency departments in Great Britain. Review of literature and papers critical of the services; Results; Quality of studies; Advice on how to improve care in emergency departments, including further education for doctors.

Comments on a paper in this issue by Feachem et al which found that the per capita costs in the National Health Service (NHS) of Great Britain and Kaiser Permanente are similar, and that the performance of Kaiser is better. How hospitals in the United States have fewer days of hospital admission per capita than the NHS; View that the systems differ in their capacity to configure care according to the needs of the patient; Superior patient management of Kaiser.

Discusses reduced targets for NHS by the health secretary John Reid. Consultation paper launched this week proposing 24 broad quality objectives for the NHS to replace the hundreds of standards, targets, and guidance rules currently in existence; Status of star rating system for hospitals; Comments by Reid on the plan; Seven key areas that the plan will cover.

Reports the significance of investing computer technology to fulfill the role of health care purchasers in Great Britain. Importance for the resource management of hospitals; Amount estimated for the capital investment; Requirement of Department of Health on the information about provider stock and the capacity to treat. INSET: White paper money.