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A National Health Service?

The Restructuring of Health Care in Britain since 1979

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Publisher:

Red Globe Press

Pages: 306
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Paperback - 9780333578322

20 March 1995

$57.99

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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...

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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impacts of post-1979 changes, a topic usually underplayed by analysts of social policy, and draws heavily on previously unpublished material.

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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.
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