A Future For The NHS? Wendy Ranade

A Future For The NHS? by Wendy Ranade

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Summary

Examines recent and existing health policy in Britain, and relates policy changes to broader ideological, social, economic and political context. It identifies the opportunities and threats inherent in the NHS reforms, and evaluates their current status, using recent research evidence.

A Future For The NHS?: Health Care in the 1990s by Wendy Ranade

Fully updated new edition of this well-respected text which examines recent and existing health care policy in Britain, and relates policy changes to broader ideological, social, economic and political issues. It identifies the opportunities and threats inherent in the NHS reforms, and evaluates their current status using the latest research evidence. Specific health care questions are addressed, such as: how can health services be restructured more appropriately to meet the needs of ageing populations? How relevant are current medical definitions of health to current health problems? How can we resolve the difference between the possible and the affordable in health care, as medical advance continues to widen the gap? What are the ethics of different ways of rationing health care? How can doctors be made more accountable for the resources they use? and, What incentives are the most appropriate?

Part 1 Introduction. Part 2 The ideological context; the social-democratic consensus; the fabian model of welfare; challenging the mystique of medicine; wrestling with inequalities; the Mckeown thesis; the radical critique; feminist perspectives; the Marxist critique; radical, feminist and marxist approaches - a comment; the new right and the state. Part 3 Scanning the future - the environmental context; facing up to the information age; "Post-Fordism" and the welfare state; facing up to demography; who will care? a case study of nursing; demographic change and the costs of care; pushing back the boundaries - developments in medical technology; evaluating medical technologies - dilemmas of choice; the outcomes movement. Part 4 Reforming the NHS - the conservative record; creeping privatisation? the costs of change; the changes - a summary; the funding debate; strengths and weaknesses of the NHS; developments in primary care; working for patients. Part 5 Setting out to market; markets and health care; managed competition and the NHS; managed competition - the evidence; conclusions. Part 6 Transforming management; the concept of organisational culture; the culture of NHS management; from consensus to general management; the impact of Griffiths; the new public management; public-private management - debating the difference; rethinking concepts of public management. Part 7 Questions of quality; what is quality in healthcare?; whose quality?; modelling quality in health care - a user-centred approach; quality and the NHS reforms; consulting the consumer; total quality management; the patients' charter. Part 8 Health for all?; health and ill-health in Britain; health inequalities and social class - the evidence; choosing a healthy diet; a strategy for health - health for all 2000; the concept of health promotion; charting progress; think globally, act locally - the healthy cities movement; the road to Utopia?; constraints and opportunities - the British perspective; health of the nation - a new direction?; appraising the strategy. Part 9 Future directions; the changing environment of healthcare; NHS reforms - the current state of play; which way forward?; strengthening commissioning; improving accountability and choice.

A Future For The NHS? Wendy Ranade

A Future For The NHS? by Wendy Ranade

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A Future For The NHS? Summary

A Future For The NHS?: Health Care in the 1990s by Wendy Ranade

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