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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.
The issue of justice in the field of health care is becoming more central with concerns over access, cost and provision. Obamacare in the United States and the Health and Social Care Act 2012 in the United Kingdom are key examples illustrating the increasing pressure put on governments to find just and equitable solutions to the problem of health care provision. Justice and Profit in Health Care Law explores the influence of justice principles on the elaboration of laws reforming health care systems. By examining the role played by key for-profit stakeholders (doctors, employers and insurers), it tracks the evolution of distributive norms for the allocation of health care resources in western welfare states. Essentially, this book sheds light on the place given to justice in the health care law-making process in order to understand the place we wish to give these principles in future health care reforms.
Dr Youssef El-Gingihy – a GP – tells the story of how the NHS has been gradually converted into a market-based healthcare system over the past 25 years. This process is accelerating under the Coalition government and the very existence of a National Health Service is in danger. He fears that there will not be an NHS as our generation grows old and certainly not for our children. Yet the British public remains largely unawares of this and the media, with few exceptions, have failed in their duty to inform them. The NHS is being broken up into an universal insurance system based on the American model. This book matters to all who use the NHS or are concerned by the privatisation of public services and the dismantling of equitable healthcare and welfare. If you want to understand the real story behind the headlines and find out how you can preserve the NHS for the future then this book is essential reading.
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.
Exploring the story of user involvement in the NHS over the last 30 years, this fascinating new book provides an analysis of the conceptual terrain that underlies debates about public and patient involvement. It is essential reading for students in all health related disciplines for whom the user experience is key.
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).
The National Health Service, or NHS, is the United Kingdom’s national healthcare system. It oversees the public’s health and ensures the medical wellbeing of the population of the UK. Governance network processes are complex because of the different nature of agendas and strategies of actors involved in health, but increasingly, because of the link between social and healthcare delivery, recent initiatives to provide a joined up or integrated approach have been presented. However, the extent of joined-up governance processes in the National Health Service is rather uneven. So far, reforms to try to improve the running of the NHS through the introduction of market mechanisms or increased decentralization have only served to exacerbate such tensions and resulted in further fragmentation of the public health system. The NHS and Contemporary Health Challenges From a Multilevel Perspective illustrates the complexities of governing public health services that are part of the NHS and takes an innovative approach by examining public health provision through a multiscalar lens, which reveals significant limits of the current governance model. The book raises the various challenges that clinical staff, public authorities, and the general public face in the provision of healthcare to uphold core values inherent in health systems. While highlighting topics including health governance, patient satisfaction, and public health, this book is ideally designed for policymakers, government officials, healthcare administrators, hospital managers, healthcare researchers, medical professionals, and students.
The National Health Service, described by Nigel Lawson as Britain's only 'national religion', has never been more popular. So why is the government so desperate to reform it? Last year, the Office of National Statistics reported higher public satisfaction with the NHS than at any time since its foundation. In a 2012 survey of developed countries, the UK showed the highest public support of its health system. Politicians can hardly be surprised then, when their plans to reforms are met with public dismay and professional fury. This year has seen one of the most bruising political battles ever fought over the future of the NHS. The twenty-two month fight to push the NHS and Social Care Act through parliament prompted the most widespread political campaign by doctors since Aneurin Bevan established the NHS in 1948. It cost the coalition government dearly and shredded the reputation of the Secretary of State for Health. So why did they do it? God Bless the NHS looks at the ideology behind the current reforms and the reasons why the government decided to take on the nation's most treasured institution. Roger Taylor looks equivocally at those who support and oppose the new system, and at the patchy history of attempts to reform the NHS and the likelihood of the success this time round. Finally, it addresses the political failure at the heart of the problem and the inevitable conflict when politics and medicine mix.
This book provides an original analysis of the trajectory of health policy reform in the United Kingdom from the beginning of the ‘Thatcher reforms’ in the 1980s right up to the latest changes in England in 2022. Rooted in political science and health policy analysis, it tackles key arguments around the ‘new integration’ of the NHS since 2015, what the new and emerging NHS structure represents, the UK’s poor response to the Covid-19 crisis, and the future threat to a comprehensive public NHS. It includes significant new material on what has happened since 2015, such as the politics of the Covid-19 pandemic, the effects of Brexit, and the conundrum of ‘social care’. The book is a scholarly and polemical analysis from an expert who has studied the politics of health services for more than forty years. It will be a key resource for students, academics and policy makers.