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Universal, comprehensive health care, equally available to all and disconnected from income and the ability to pay, was the goal of the founders of the National Health Service. This book, by one of the NHS's most eloquent and passionate defenders, tells the story of how that ideal has been progressively eroded, and how the clock is being turned back to pre-NHS days, when health care was a commodity, fully available only to those with money. How this has come about-to the point where even the shrinking core of free NHS hospital services is being handed over to private providers at the taxpayers' expense-is still not widely understood, hidden behind slogans like "care in the community," "diversity" and "local ownership." Allyson Pollock demystifies these terms, and in doing so presents a clear and powerful analysis of the transition from a comprehensive and universal service to New Labour's "mixed economy of health care," in which hospitals with foundation status, loosely supervised by an independent regulator, will be run on largely market principles. The NHS remains popular, Pollock argues, precisely because it created the "freedom from fear" that its founders promised, and because its integrated, non-commercial character meant low costs and good medical practice. Restoring these values in today's health service has become an urgent necessity, and this book will be a key resource for everyone wishing to to bring this about.
An analysis of the transition from universal, publicly funded health care to New Labour's application of market principles, 'NHS plc' portrays a national institution reaching crisis point and serves as a key lesson for those concerned with health care.
Dr Alison Talbot-Smith, an experienced doctor and researcher, and Professor Allyson M. Pollock, one of the UKs leading authorities on the NHS, give a lucid and incisive account of the new NHS – which has emerged from a far-reaching programme of market-oriented changes. Providing an authoritative and accessible overview of the new NHS, the book describes: the structures and functions of the new organizations in each of the devolved countries the funding of NHS services, education, training and research and resource allocation the regulation of the new NHS systems and workforce the relationships between the NHS, the Department of Health, local authorities and regulatory bodies, and between the NHS and the private sector the future implications of current policies. This is an indispensable resource for those working in healthcare today as clinicians, academics, researchers and managers. It will also be essential reading for academics, students, and researchers in related fields, as well as the general public.
A history of Britain’s healthcare system, from the Victorian era to the post-World War II beginnings of the NHS to the Coronavirus pandemic. The Coronavirus pandemic in 2020 has changed life as we know it and thrust the NHS into the spotlight. A nation in lockdown has adorned windows with rainbows and stepped onto doorsteps every Thursday to celebrate the people who are risking their lives by turning up to work. But as the grim reports of deaths from the disease cumulate, along with stories of insufficient protective equipment for staff, there is hope that the crisis will raise awareness and bring change to the way the NHS and its people are treated. At midnight on 5 July 1948, the National Health Service was born with the founding principal to be free at the point of use and based on clinical need rather than on a person’s ability to pay. Over seventy years since its formation, these core principals still hold true, but the world has changed. Persistent underfunding has not kept pace with increased demand for healthcare, leading to longer waiting times, staffing shortages and low morale. This book traces the history of our health service, from Victorian healthcare and the early 20th century, through a timeline of change to the current day, comparing the problems and illnesses of 1948 to those we face today. Politics and funding are demystified and the effects of the pandemic are discussed, alongside personal stories from frontline staff and patients who have experienced our changing NHS. “Ellen's book takes us on an emotional journey through the history of our beloved NHS. This should be compulsory reading for anyone who thinks the NHS is safe in the hands of anyone but the Labour Party. Absolutely enthralling.” —Books Monthly
Who are NHS middle managers? What do they do, and why and how do they do it’? This book explores the daily realities of working life for middle managers in the UK’s National Health Service during a time of radical change and disruption to the entire edifice of publicly-funded healthcare. It is an empirical critique of the movement towards a healthcare model based around HMO-type providers such as Kaiser Permanente and United Health. Although this model is well-known internationally, many believe it to be financially and ethically questionable, and often far from 'best practice' when it comes to patient care. Drawing on immersive ethnographic research based on four case studies – an Acute Hospital Trust, an Ambulance Trust, a Mental Health Trust, and a Primary Care Trust – this book provides an in-depth critical appraisal of the everyday experiences of a range of managers working in the NHS. It describes exactly what NHS managers do and explains how their roles are changing and the types of challenges they face. The analysis explains how many NHS junior and middle managers are themselves clinicians to some extent, with hybrid roles as simultaneously nurse and manager, midwife and manager, or paramedic and manager. While commonly working in ‘back office’ functions, NHS middle managers are also just as likely to be working very close to or actually on the front lines of patient care. Despite the problems they regularly face from organizational restructuring, cost control and demands for accountability, the authors demonstrate that NHS managers – in their various guises – play critical, yet undervalued, institutional roles. Depicting the darker sides of organizational change, this text is a sociological exploration of the daily struggle for work dignity of a complex, widely denigrated, and largely misunderstood group of public servants trying to do their best under extremely trying circumstances. It is essential reading for academics, students, and practitioners interested in health management and policy, organisational change, public sector management, and the NHS more broadly.
Companies make a huge investment of 4 to 10% of their turnover on IT--this book reveals how this is evaluated and measured.
This handbook is a must for anyone trying to navigate the landscape of postgraduate medical education.
In recent decades most of the international effort given over to studying and improving the safety of patient care has been focused in acute hospital settings. To some extent this was always something of a puzzle to those of us with a direct interest in this important issue...Now, however, the tide is slowly turning. Policymakers, healthcare leader
Global Health Watch, now in its fourth edition, is widely perceived as the definitive voice for an alternative discourse on health and healthcare. It covers a range of issues that currently impact on health, including the present political and economic architecture in a fast-changing and globalized world; a political assessment of the drive towards Universal Health Coverage; broader determinants of health, such as gender-based violence and access to water; stories of struggles, actions and change; and a scrutiny of a range of global institutions and processes. It integrates rigorous analysis, alternative proposals and stories of struggle and change to present a compelling case for a radical transformation of the way we approach actions and policies on health.
This collection of essays looks at issues of health and citizenship in Europe across two centuries. Contributors examine the extent to which the state can interfere with the private lives of its citizens, the role of individual responsibility and if any boundary occurs in terms of what the state can realistically provide.