The National Health Service (NHS) in England: Trying to Achieve Value-Based Healthcare
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The National Health System (NHS) in England allows system-wide control of quality determined at a national level. This chapter brings together the three processes which have been influencing quality and value in spinal care in England over the last 8 years: (1) a national system for commissioning specialised spinal surgery, (2) a national programme called ‘Getting It Right First Time’ comparing spinal services with feedback to influence changes and (3) utilizing the British Spine Registry to allow collection of surgical procedures, complications and patient-reported outcome and experience measures.