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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.
This book explains what has been happening to the NHS since the 2012 Act. It challenges myths: that the NHS was broke, that we can't afford the NHS, that doctors and GPs would be in the driving seat; that patients would have more choice, that there would be less bureaucracy and that communities would have greater control.
An exposé of the back-door deals and negligence that threaten to destroy the NHS – and a 10-step manifesto for saving it The Coalition Government passed into law an unprecedented assault on the NHS. Doctors, unions, the media, even politicians who claimed to be stalwart defenders failed to protect it. Now the effect of those devastating reforms are beginning to be felt by patients – but we can still save our country’s most valued institution if we take lessons from this terrible betrayal and act on them. Contributors to this eye-opening dissection include Dr Jacky Davis, Oliver Huitson, Dr John Lister, Stewart Player, Prof. Allyson Pollock, David Price, Prof. Raymond Tallis, Dr Charled West and Dr David Wrigley. Proceeds from the profits of this book will go to Keep Our NHS Public (www.keepournhspublic.com).
All royalties, a minimum of £2.50 from the sale of each book, will be paid to NHS Charities Together (registered charity no. 1186569) to fund vital projects. When the UK went into lockdown in March 2020 to contain the spread of the Covid-19 virus, artist Tom Croft offered to paint an NHS key worker's portrait for free. Unsure how to help and offer his support, he wanted to capture and record the bravery and heroism of frontline workers who were risking their physical and mental health for our wellbeing. Tom suggested that other artists might want to do the same. He made his offer via video message on Instagram and was immediately contacted by Harriet Durkin, a nurse at the Manchester Royal Infirmary, who had contracted Covid-19 and, now recovered, was about to return to the frontline. Tom's portrait of Harriet, wearing PPE, was the first in what became a global art project. The response to the initiative was staggering and Tom personally paired up 500 artists and NHS workers in the first two weeks. When numbers reached the thousands, Tom set up a traffic light system so that artists and frontline workers could match themselves. Portraits in all mediums followed, from oils to pencil, sculpture to ceramic, mosaic to mural. This book presents a selection of these remarkable images. Some are by leading artists such as Alastair Adams and Mary Jane Ansell, and they are showcased here as both a celebration and a remembrance, in physical form, of the dedication of our NHS key workers. 'I just couldn't imagine what it must be like to have to put on your PPE and head into the frontline of the pandemic, so I wanted to try and thank NHS workers in some small way. We are indebted to them, so to be able to commemorate, celebrate and record their experiences through portraiture felt fitting. This collection will stand as a permanent record of their bravery in a time of national crisis.' Tom Croft
As standards of healthcare decline, so do our bodies; we need a radical vision for healthcare
Meet the real-life health heroes! £1 from the sale of this book will be donated to NHS Charities Together. For readers aged 8+, Health Heroes is packed full of true stories of healthcare workers past and present, from all walks of life and from all around the world – from Florence Nightingale and Alexander Fleming to the midwives, doctors, paramedics and carers of today. From famous names to unsung heroes, these are real people being amazing – making new discoveries, putting themselves on the front line, and helping to take care of people in need, in all sorts of ways. Beautifully illustrated, and brimming with fun facts, information and inspiring true stories, this is the perfect read for future health heroes, fans of Goodnight Stories for Rebel Girls, Greta’s Story and Stories for Boys Who Dare to Be Different – or anyone who just wants to join in the round of applause!
A beautifully illustrated history of Britain's most revered and valued institution: the NHS. In March 2020 the UK went into lockdown to help contain the spread of COVID-19 and protect the NHS from one of the greatest threats that it has faced in its 72-year history. Today more than ever, all eyes are on this beloved institution as it continues to innovate and adapt to meet the challenges of providing national healthcare in the modern world. In this fully illustrated introduction, Dr Susan Cohen traces the history of the NHS from its establishment after the Second World War, through seven decades of changing management and organisation, often in controversial political circumstances, right up to the current COVID-19 crisis. Including personal recollections from healthcare professionals on the frontline, as well as the patients in their care, this important and timely volume offers a comprehensive overview of one of the world's most remarkable healthcare systems.
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.
With an amendment slip which incorporates the Directions relating to the register of public sector land. Supersedes the document 'Estatecode: essential guidance on estates and facilities management' (2002, ISBN 9780113225491). On cover and title page: Core elements