A National Health Service?: The Restructuring of Health Care in Britain Since 1979

ISBN-13: 9780333578322 / Angielski / Miękka / 1995 / 286 str.

John Mohan

Opis

This book contrasts the proposals of the Royal Commission of the late 1970s with the very different set of priorities enshrined in the 1989 White Paper and describes how the changes between the two documents came about. It argues that the NHS reforms should be seen not as the inevitable product of technical developments nor as a consensus response to narrowly managerial difficulties within the NHS, but rather as part of a wider political strategy towards state provision of welfare. The book strongly emphasises the uneven geographical impacts of post-1979 changes, a topic usually underplayed by analysts of social policy, and draws heavily on previously unpublished material.

Spis treści

From Royal Commission to The NHS Reforms: A Review of Policies and Statistics.- Explaining Change in Health Care Policy.- Conservatism, Health Policy and Health Care Policy.- Spatial Resource Allocation: Local Difficulties, Technical Adjustments and Political Solutions.- Imagined and Imaginary Communities: Rhetoric and Reality in Community Care Policy.- Producing Health Care: Management, Labour and the State in the NHS.- Blurring the Boundaries: Health Care outside the NHS.- The Entrepreneurial State: Commercial and Charitable Activities by Health Authorities.- Powers, Responsibilities and Accountability: Organisational Reform and Local Autonomy In What Sense a National Health Service?.- Appendix 1: A Chronology of Major Developments in Health and Health Care Policy since 1979.- Bibliography.