Health policy in Britain: the politics and organisation of the National Health Service
Gespeichert in:
| Beteilige Person: | |
|---|---|
| Format: | Buch |
| Sprache: | Englisch |
| Veröffentlicht: |
Basingstoke [u.a.]
Palgrave
1999
|
| Ausgabe: | 4. ed. |
| Schriftenreihe: | Public policy and politics
|
| Schlagwörter: | |
| Links: | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009930006&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| Umfang: | XV, 237 S. graph. Darst., Kt. |
| ISBN: | 0333764072 0333764064 |
Internformat
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
List of Figures and Tables x
Acknowledgements xii
Preface to the Fourth Edition xiii
Abbreviations xiv
Introduction 1
1 The Development of Health Services and Health Policy 4
Public health services 5
Mothers and young children 6
Health insurance 7
Hospital services 8
The establishment of the National Health Service 10
The structure of the National Health Service 12
The NHS between 1948 and 1974 13
The reorganisation of the NHS 19
The reorganised National Health Service 21
Conclusion 24
2 Health Policy under Thatcher and Major 27
Increasing NHS efficiency 27
Making the NHS businesslike 29
Dealing with the funding crisis 32
Working for Patients 35
The reform of primary care and community care 38
Implementing the reforms 39
The impact of the reforms 45
Streamlining the structure 48
Conclusion 49
3 New Labour and the NHS 51
The inheritance 51
The new NHS 54
The new structure 57
viii Contents
Implementation 61
Integrated care 64
The comprehensive spending review 66
Northern Ireland, Scotland and Wales 67
Conclusion 70
4 Contemporary Issues in Health Policy 72
The growth of NHS expenditure 72
Raising and spending money in the NHS 76
Public health and health improvement 80
Health care 84
Health and social care 90
Priority setting 93
Conclusion 96
5 The Policy making Process in Central Government 97
What is policy? 97
The policy process 99
Limits of the systems model 101
British central government 102
Parliament 104
The Prime Minister and Cabinet 106
Ministers and civil servants 109
Relationships between departments 11
Outside interests 114
Pluralism or corporatism? H5
Conclusion H°
6 Making and Changing Health Policy 120
The Department of Health 12°
The policy community 26
The sources of policy inputs 129
Policy analysis in the Department 142
Back to management 45
Conclusion 50
7 Implementing Health Policy 152
The management of the NHS 52
NHS Executive regional offices 53
Health authorities 155
NHS trusts 158
Primary care trusts 159
Special health authorities 160
The role of the DH 160
Contents ix
Professional influences on policy implementation 166
Policy making in NHS bodies 170
Conclusion 174
8 Monitoring and Evaluating Health Policy 176
The audit explosion 176
Health improvement 184
Access to health care 191
The NHS in the international context 197
Conclusion 202
9 Power in Health Services 203
Marxist approaches 203
Pluralism 204
Structuralist approaches 205
Concepts of health 207
Power, interests and ideology 209
Theories and practice 212
Conclusion 216
Guide to Further Reading 218
Bibliography 221
Index 231
List of Figures and Tables
Figures
1.1 The structure of the NHS, 1948 74 13
1.2 The structure of the NHS, 1974 82 20
1.3 The structure of the NHS, 1982 91 24
2.1 Hospital and community health services: trends in spending,
targets and shortfalls 33
2.2 The structure of the NHS in England, 1991 96 40
2.3 The structure of the NHS in England, 1996 99 47
3.1 The structure of the new NHS 58
3.2 Levels of primary care groups 59
3.3 A framework for quality 3
3.4 The structure of the NHS in Scotland 68
4.1 Cost of NHS as percentage of GDP, 1949 98 74
4.2 International comparison of expenditures on health care,
1996 75
4.3 Sources of NHS finance, 1997 98 77
4.4 Distribution of NHS budget, 1997 98 77
4.5 Distribution of hospital and community health services
expenditure, 1995 96 78
4.6 Distribution of family health services expenditure, 1996 97 78
4.7 Distribution of health and community health services
expenditure by age group, 1995 96 79
4.8 Expectation of life at birth, EU, 1995 85
5.1 A simplified model of a political system 100
6.1 Structure of the Department of Health 121
6.2 Structure of the NHS Executive 123
7.1 NHS Executive regional office boundaries from 1 April 1999 154
8.1 Percentage survival to 1991 of children born since 1950,
England and Wales 186
8.2 Prevalence of reported limiting long standing illness by
socioeconomic group, and by age group, Great Britain, 1994 188
8.3 Waiting lists in England and Wales, 1948 96 196
8.4 Health in Europe 198
List of Figures and Tables xi
Tables
2.1 Background of general managers, 1986 31
2.2 The implementation of GP fundholding and NHS trusts 41
4.1 NHS expenditure UK, 1949 96 73
4.2 NHS directly employed staff, 1996, England (WTEs) 79
4.3 A contract for health 83
4.4 The Patient s Charter 86
8.1 NHS performance assessment framework 181
8.2 Life expectancy, England and Wales, 1841 1991 185
8.3 Age specific mortality rates, by social class, men aged 20 64,
all causes, England and Wales, 1991 93 187
8.4 Comparison of mortality rates per million population in
England and Wales in 1950 and 1994 190
8.5 Percentage shares of NHS expenditure standardised for need,
1974 87 193
|
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| discipline | Anglistik / Amerikanistik |
| edition | 4. ed. |
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| geographic | Great Britain - Health services - Policies of government Großbritannien Großbritannien (DE-588)4022153-2 gnd |
| geographic_facet | Great Britain - Health services - Policies of government Großbritannien |
| id | DE-604.BV014608024 |
| illustrated | Illustrated |
| indexdate | 2024-12-20T11:05:43Z |
| institution | BVB |
| isbn | 0333764072 0333764064 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-009930006 |
| oclc_num | 473512006 |
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| owner_facet | DE-473 DE-BY-UBG DE-29 |
| physical | XV, 237 S. graph. Darst., Kt. |
| publishDate | 1999 |
| publishDateSearch | 1999 |
| publishDateSort | 1999 |
| publisher | Palgrave |
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| series2 | Public policy and politics |
| spellingShingle | Ham, Christopher Health policy in Britain the politics and organisation of the National Health Service Großbritannien National Health Service (DE-588)121257-6 gnd Medical policy - Great Britain National health services - Great Britain Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitswesen (DE-588)4020775-4 gnd Öffentliches Gesundheitswesen (DE-588)4139691-1 gnd |
| subject_GND | (DE-588)121257-6 (DE-588)4113743-7 (DE-588)4020775-4 (DE-588)4139691-1 (DE-588)4022153-2 |
| title | Health policy in Britain the politics and organisation of the National Health Service |
| title_auth | Health policy in Britain the politics and organisation of the National Health Service |
| title_exact_search | Health policy in Britain the politics and organisation of the National Health Service |
| title_full | Health policy in Britain the politics and organisation of the National Health Service Christopher Ham |
| title_fullStr | Health policy in Britain the politics and organisation of the National Health Service Christopher Ham |
| title_full_unstemmed | Health policy in Britain the politics and organisation of the National Health Service Christopher Ham |
| title_short | Health policy in Britain |
| title_sort | health policy in britain the politics and organisation of the national health service |
| title_sub | the politics and organisation of the National Health Service |
| topic | Großbritannien National Health Service (DE-588)121257-6 gnd Medical policy - Great Britain National health services - Great Britain Gesundheitspolitik (DE-588)4113743-7 gnd Gesundheitswesen (DE-588)4020775-4 gnd Öffentliches Gesundheitswesen (DE-588)4139691-1 gnd |
| topic_facet | Großbritannien National Health Service Medical policy - Great Britain National health services - Great Britain Gesundheitspolitik Gesundheitswesen Öffentliches Gesundheitswesen Great Britain - Health services - Policies of government Großbritannien |
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