This book contrasts the proposals of the Royal Commission of the late 1970s with the very different set of priorities enshrined in the 1989 White Paper and describes how the changes between the two documents came about. It argues that the NHS reforms should be seen not as the inevitable product of technical developments nor as a consensus response to narrowly managerial difficulties within the NHS, but rather as part of a wider political strategy towards state provision of welfare. The book strongly emphasises the uneven geographical impacts of post-1979 changes, a topic usually underplayed...

The human geography of the UK is currently being reshaped by a number of forces - such as globalisation, transition in the organisations of production, the changing character of state intervention, and changing relationships with Europe. A consideration of the impacts of these forces on economic, social and political landscapes is, therefore, an urgent task. At the same time, enduring institutional features of the British economy and polity are also having important influences on socio-economic processes. The result is a complex mosaic of uneven development, which belies the notion of...