The NHS at 75 : the state of UK health policy /
In its 75th anniversary year, this book examines the history, evolution and future of the NHS. With contributions from leading researchers and experts across a range of fields, it provides a long-term critical review of the NHS and key themes in health policy.
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| Other Authors: | , , |
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| Format: | Electronic eBook |
| Language: | English |
| Published: |
Bristol :
Policy Press,
2023.
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| Subjects: | |
| Online Access: | CONNECT |
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| 245 | 0 | 4 | |a The NHS at 75 : |b the state of UK health policy / |c edited by Mark Exworthy, Russell Mannion and Martin Powell. |
| 264 | 1 | |a Bristol : |b Policy Press, |c 2023. | |
| 300 | |a 1 online resource (295 pages) : |b digital, PDF file(s). | ||
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| 505 | 0 | |a Front Cover -- The NHS at 75: The State of UK Health Policy -- Copyright information -- Dedication -- Table of Contents -- List of figures and tables -- Notes on contributors -- Foreword -- 1 The NHS at 75: an unfolding story -- Introduction -- The NHS through anniversaries -- Analytical axes of health policy -- Governing the NHS through hierarchies, markets and networks -- The public and private axis -- The centralisation and decentralisation axis -- The professional and state axis -- Evaluating policy success in 75 years of the NHS -- Evaluating the NHS -- Temporal -- Intrinsic -- Extrinsic -- Conclusion -- References -- 2 NHS governance: the centre claims authority -- NHS governance: a schematic history -- 1948: the fiduciary model of health policy -- Consensus management -- Management -- Internal market -- Department of Health -- The Blair governments -- The Lansley reforms -- COVID-19 -- Conclusion: rising claims of authority -- References -- 3 Health and care funding at 75 -- Introduction -- The funding settlement for health in England -- Out-of-pocket and private spending -- Government funding for the NHS in England -- A new financial settlement for NHS England -- Public health spending -- Workforce -- Capital spending -- Social care -- NHS funding after the pandemic -- Increasing capacity -- Social care funding after the pandemic -- Conclusion -- References -- 4 The devolved nations -- Introduction -- Devolved health policy -- Divergence -- Brexit and COVID-19 -- Northern Ireland -- Scotland -- Wales -- Conclusion -- Notes -- References -- 5 NHS at 75: general practice through the lens of access -- The GP contract -- Access as a lens through which to understand primary care -- Access theory: a new model -- Contemporary policy issues using an access lens -- Introduction -- Remote-first primary care -- Skill mix change in primary care. | |
| 505 | 8 | |a Extended access to primary care services -- Conclusion -- Notes -- References -- 6 NHS hospitals and the bedpan doctrine: the first 75 years -- Introduction -- What doctrine implies -- Central control -- Responsibilisation -- Policies and events that have triggered the bedpan doctrine -- Consequences for NHS hospitals -- Central control -- Responsibilised management -- Workload -- Workforce -- Hospital infrastructure -- Private income -- Efficiency and performance -- Evaluating the bedpan doctrine and its consequences -- References -- 7 Quality and the NHS: fair-weather friends or a longstanding relationship? -- Introduction -- Quality: its definition and operationalisation in the NHS -- A brief history of quality in the NHS -- Making sense of quality in the NHS -- Quality ingredients without a recipe? -- Quality as craft or science? -- The (problematic) borrowing of quality improvement methods -- Quality and control -- Conclusion -- References -- 8 Improving health and tackling health inequalities: what role for the NHS? -- Introduction -- Health and health inequalities in the NHS -- The 'classic' NHS (1948-1979) -- Conservative governments (1979-1997) -- Labour governments (1997-2010) -- Coalition and Conservative governments (2010-2023) -- Analytical lenses and health and health inequalities -- Hierarchies, markets and networks -- Public and private -- Centralisation and decentralisation -- Professional and managerial -- Evaluation of health and health inequalities -- Temporal evaluation -- Intrinsic evaluation -- Extrinsic evaluation -- Conclusion -- References -- 9 NHS managers at a crossroads: part of the problem or the solution? -- Managers and management: definitions -- Management reform in the NHS: a brief history -- Reflections: mounting criticisms about the value of managers -- Assessing the evidence base -- Is the NHS over-managed?. | |
| 505 | 8 | |a Managers: a self-serving elite? -- The contribution of NHS managers -- Conclusion -- References -- 10 Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care -- Introduction: social care anniversaries -- Analysis of adult social care policy and practice -- Hierarchies, markets and networks -- A mixed economy of care -- Centralisation versus decentralisation -- Professionals versus the state -- Evaluating success in social care -- Conclusion -- References -- 11 The NHS at 75 in comparative perspective -- Introduction -- The NHS in comparative context in 2019 -- How has the NHS changed? -- The pandemic response -- How does 2019 compare to 2000? -- How did the NHS in 2009 compare to both 2000 and 2019? -- The UK healthcare system in comparative perspective -- How does the analysis here compare to typology-based approaches to healthcare systems? -- Why does the UK have such poor health outcomes and such high preventable mortality? -- Conclusion -- Notes -- References -- 12 Our NHS? The changing involvement of patients and the public in England's health and care system -- Introduction -- The historical development of patient and public involvement in the NHS in England -- Contemporary PPI: Healthwatch -- Local Healthwatch: between local responsiveness, and national inequalities -- Healthwatch and the COVID-19 pandemic -- Healthwatch and Integrated Care Systems -- Healthwatch in context: a more complex landscape of patient and public voice -- Conclusion -- References -- 13 After 75 years, whither the NHS? Some conclusions -- Introduction -- NHS anniversaries -- Analytical axes revisited -- The governance axis -- The public/private axis -- The central/local axis -- The professional/state axis -- The NHS at 75: taking stock -- Relative performance and health spending -- Workforce issues -- Looking to the future. | |
| 505 | 8 | |a References -- Index. | |
| 520 | |a In its 75th anniversary year, this book examines the history, evolution and future of the NHS. With contributions from leading researchers and experts across a range of fields, it provides a long-term critical review of the NHS and key themes in health policy. | ||
| 610 | 1 | 0 | |a Great Britain. |b National Health Service |x History. |
| 650 | 0 | |a Medical policy |z Great Britain |x History. | |
| 700 | 1 | |a Exworthy, Mark, |d 1966- |e editor. | |
| 700 | 1 | |a Mannion, Russell, |e editor. | |
| 700 | 1 | |a Powell, Martin, |e editor. | |
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| 952 | f | f | |a Middle Tennessee State University |b Main |c James E. Walker Library |d Electronic Resources |t 0 |e RA395.G7 N47 2023 |h Library of Congress classification |
