TY - BOOK AU - Ham,Christopher TI - Health policy in Britain T2 - Public policy and politics SN - 0230507573 AV - RA395.G6 H29 2009 U1 - 362.10941 22 PY - 2009/// CY - New York, NY PB - Palgrave Macmillan KW - Medical policy KW - Great Britain KW - National health services N1 - Includes bibliographical references (pages 331-346) and index; Introduction --; The structure of the analysis --; 1; The Development of Health Services and Health Policy --; The origins of hospitals and medicine --; Public health Services --; Mothers and young children --; Health insurance --; Hospital services --; The establishment of the National Health Service --; The structure of the National Health Service --; The NHS between 1948 and 1974 --; The reorganisation of the NHS --; The reorganised National Health Service --; Conclusion --; 2; Health Policy under Thatcher and Major --; Increasing NHS efficiency --; Making the NHS businesslike --; Dealing with the funding crisis --; Working for Patients --; The reform of primary care and community care --; Implementing the reforms --; The Impact of the reforms --; Streamlining the structure --; Conclusion --; 3; Health Policy under Blair and Brown --; The inheritance --; The New NHS --; The new structure --; Implementation --; The comprehensive Spending review --; The NHS Plan --; Shifting the Balance of Power --; Delivering the NHS Plan --; A return to the market? --; The NHS Improvement Plan --; The health reform programme --; Gordon Brown and the NHS Next Stage Review --; The impact of the reforms --; Conclusion --; 4; Financing Health Services and the Rediscovery of Public Health --; The growth of NHS expenditure --; The Wanless review of the long-term funding needs of the NHS --; Raising and spending money in the NHS --; Public health and health improvement --; What has been achieved? --; Conclusion --; 5; Policy and Priorities in the NHS --; The context --; Access and standards --; Primary care --; Pharmacy and dentistry --; Acute hospital services --; Cancer --; Heart disease and stroke --; Mental health --; Learning disabilities --; Older people --; Children's services and maternity care --; Health and social care integration --; Priority-setting --; Conclusion --; 6; Policy-making in Westminster and Whitehall --; What is policy? --; British central government --; Parliament --; The Prime Minister and Cabinet --; Ministers, civil servants and special advisers --; Relationships between departments --; Outside interests --; Pluralism or corporatism? --; Conclusion --; 7; Policy-making in Scotland, Wales and Northern Ireland --; Differences before devolution --; Differences after devolution: 1999-2003 --; Devolution after 2004 --; Comparing performance --; An assessment --; Regional government in England --; The European Union --; Conclusion --; 8; Policy-making in the Department of Health --; The Department of Health --; The policy community --; Pressure groups --; Parliament and the mass media --; NHS bodies --; The Consultative machinery --; Ministers and civil servants --; Special advisers and the core executive --; Industrial and commercial interests --; The role of ideas --; Changes in the Department --; Conclusion --; 9; Implementing Health Policy --; The organisation of the NHS --; The regional tier and strategic health authorities --; NHS trusts and NHS foundation trusts --; Primary care trusts --; Arm's-length bodies --; The role of the DH --; Professional influences on policy implementation --; Policy-making in NHS bodies --; The NHS today --; Conclusion --; 10; Auditing and Evaluating Health Policy and the NHS --; The context --; Performance indicators and performance ratings --; The audit explosion and the rise of the regulators --; Evaluation by independent organisations and government --; Health improvement --; Access to health care --; Conclusion --; 11; Power in Health Services --; Pluralist theories --; Structuralist approaches --; Marxist theories --; Concepts of health --; Power, interests and ideology --; Theories and practices --; Conclusion --; 12; Looking Back and Looking Ahead --; How good is the NHS? --; The organisation and management of the NHS --; Hierarchies, markets and networks --; The role of politicians --; The future demand for health care --; Increasing efficiency in the NHS --; Priority-setting or rationing --; Political futures --; Conclusion --; 13; Reflections on the Reform of the NHS: 11 Lessons for Policy-makers --; Taking stock --; Moving forward ER -