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_aRA395.G6 _bH29 2009 |
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_a362.10941 _222 |
100 | 1 |
_aHam, Christopher, _eauthor. _9233636 |
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245 | 1 | 0 |
_aHealth policy in Britain / _cChristopher Ham. |
250 | _aSixth edition. | ||
264 | 1 |
_aNew York, NY : _bPalgrave Macmillan, _c2009. |
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300 |
_axvi, 352 pages : _billustrations ; _c24 cm. |
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336 |
_atext _btxt _2rdacontent |
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337 |
_aunmediated _bn _2rdamedia |
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338 |
_avolume _bnc _2rdacarrier |
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490 | 1 | _aPublic policy and politics | |
504 | _aIncludes bibliographical references (pages 331-346) and index. | ||
505 | 0 | 0 |
_tIntroduction -- _tThe structure of the analysis -- _g1. _tThe Development of Health Services and Health Policy -- _tThe origins of hospitals and medicine -- _tPublic health Services -- _tMothers and young children -- _tHealth insurance -- _tHospital services -- _tThe establishment of the National Health Service -- _tThe structure of the National Health Service -- _tThe NHS between 1948 and 1974 -- _tThe reorganisation of the NHS -- _tThe reorganised National Health Service -- _tConclusion -- _g2. _tHealth Policy under Thatcher and Major -- _tIncreasing NHS efficiency -- _tMaking the NHS businesslike -- _tDealing with the funding crisis -- _tWorking for Patients -- _tThe reform of primary care and community care -- _tImplementing the reforms -- _tThe Impact of the reforms -- _tStreamlining the structure -- _tConclusion -- _g3. _tHealth Policy under Blair and Brown -- _tThe inheritance -- _tThe New NHS -- _tThe new structure -- _tImplementation -- _tThe comprehensive Spending review -- _tThe NHS Plan -- _tShifting the Balance of Power -- _tDelivering the NHS Plan -- _tA return to the market? -- _tThe NHS Improvement Plan -- _tThe health reform programme -- _tGordon Brown and the NHS Next Stage Review -- _tThe impact of the reforms -- _tConclusion -- _g4. _tFinancing Health Services and the Rediscovery of Public Health -- _tThe growth of NHS expenditure -- _tThe Wanless review of the long-term funding needs of the NHS -- _tRaising and spending money in the NHS -- _tPublic health and health improvement -- _tWhat has been achieved? -- _tConclusion -- _g5. _tPolicy and Priorities in the NHS -- _tThe context -- _tAccess and standards -- _tPrimary care -- _tPharmacy and dentistry -- _tAcute hospital services -- _tCancer -- _tHeart disease and stroke -- _tMental health -- _tLearning disabilities -- _tOlder people -- _tChildren's services and maternity care -- _tHealth and social care integration -- _tPriority-setting -- _tConclusion -- _g6. _tPolicy-making in Westminster and Whitehall -- _tWhat is policy? -- _tBritish central government -- _tParliament -- _tThe Prime Minister and Cabinet -- _tMinisters, civil servants and special advisers -- _tRelationships between departments -- _tOutside interests -- _tPluralism or corporatism? -- _tConclusion -- _g7. _tPolicy-making in Scotland, Wales and Northern Ireland -- _tDifferences before devolution -- _tDifferences after devolution: 1999-2003 -- _tDevolution after 2004 -- _tComparing performance -- _tAn assessment -- _tRegional government in England -- _tThe European Union -- _tConclusion -- _g8. _tPolicy-making in the Department of Health -- _tThe Department of Health -- _tThe policy community -- _tPressure groups -- _tParliament and the mass media -- _tNHS bodies -- _tThe Consultative machinery -- _tMinisters and civil servants -- _tSpecial advisers and the core executive -- _tIndustrial and commercial interests -- _tThe role of ideas -- _tChanges in the Department -- _tConclusion -- _g9. _tImplementing Health Policy -- _tThe organisation of the NHS -- _tThe regional tier and strategic health authorities -- _tNHS trusts and NHS foundation trusts -- _tPrimary care trusts -- _tArm's-length bodies -- _tThe role of the DH -- _tProfessional influences on policy implementation -- _tPolicy-making in NHS bodies -- _tThe NHS today -- _tConclusion -- _g10. _tAuditing and Evaluating Health Policy and the NHS -- _tThe context -- _tPerformance indicators and performance ratings -- _tThe audit explosion and the rise of the regulators -- _tEvaluation by independent organisations and government -- _tHealth improvement -- _tAccess to health care -- _tConclusion -- _g11. _tPower in Health Services -- _tPluralist theories -- _tStructuralist approaches -- _tMarxist theories -- _tConcepts of health -- _tPower, interests and ideology -- _tTheories and practices -- _tConclusion -- _g12. _tLooking Back and Looking Ahead -- _tHow good is the NHS? -- _tThe organisation and management of the NHS -- _tHierarchies, markets and networks -- _tThe role of politicians -- _tThe future demand for health care -- _tIncreasing efficiency in the NHS -- _tPriority-setting or rationing -- _tPolitical futures -- _tConclusion -- _g13. _tReflections on the Reform of the NHS: 11 Lessons for Policy-makers -- _tTaking stock -- _tMoving forward. |
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