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The health debate (Policy and Politics in the Twenty-First Century), by David J. Hunter
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Health care systems everywhere face multiple pressures from changing demography, the rise of non-communicable disease, the growing demand on health services, and limited resources at a time of austerity. Focusing on the British NHS from a political science perspective, this second edition of this best-selling book offers a fresh look at how it is coping with such pressures. The book explores the complexity of health policy and health services, offering a critical perspective on concerns including integrated care, the return of public health to local government and moves to devolve health services to local level. Crucially, it offers a critique of the market-style changes introduced by the Coalition government between 2010 and 2015. Students of health care and health policy, policy-makers and public health and health care professionals will find this lively and accessible reassessment of NHS reforms invaluable.
- Published on: 2016-01-13
- Released on: 2016-01-13
- Format: Kindle eBook
Review
At a time when current policy seems bereft of original ideas and sustainability, Hunter has produced an insightful and coherent analysis, which underscores a strong argument for a different approach. Neil Goodwin, Visiting Professor of Leadership Studies, Universities of Durham and Manchester and a former CEO in the NHS
A thoughtful assessment of recent NHS reforms that is more balanced and insightful than many of those produced by New Labour's critics. Critical Social Policy
Read this excellent book to find out where things have gone wrong in the NHS and why. 5 star review by a reader on Amazon.co.uk
This book is ideal for anyone with an interest in health policy, health systems development and the wider health agenda.... a useful resource for all students of health, health professionals, policy makers and strategy developers. Health Service Journal June 2009
About the Author
David J. Hunter, School of Health, Durham University
Most helpful customer reviews
1 of 1 people found the following review helpful.
The Failings of the UK NHS laid bare
By Dr. Peter Davies
This is an important analysis of the mismanagement of the UK NHS in the last twenty years. The UK NHS is both a good example and a dire warning to the rest of the world. It's a good example in that we achieve population coverage to some level. The dire warning bit is that the standards (of access, and outcomes achieved) are not as high as we like to think, or as good as in comparable European countries.
Imagine a car company that did not like its engineers. That's about the relationship between NHS management and the doctors and nurses who deliver the care to patients. Hunter clearly shows the problems that such an attitude causes and reminds us, ""As any change management text will state, the chances of ensuring that successful implementation occurs are seriously impaired if those working on the front line are not signed up to the changes and seek to contest, or undermine them.....A key feature of the most recent changes in the NHS in England is that the key professions have been disengaged from the reform process"
The UK NHS is a dire warning to others. It has consumed vast amounts of policy ideas and money, and delivered little in return for all the investment spent on it. The processes of change have been disruptive, faddy, and not sustained rather than constructive with long term outcomes in mind. Hunter describes the policies and their botched implementation carefully, and is clear about the consequences. The book is clearly written and well referenced, and so makes a strong case for its conclusions.
The tragedy is that all of us are suffering from this- doctors, patients, managers, voters, taxpayers, politicians.
Read this excellent book to find out where things have gone wrong in the NHS and why. And then make a note that centralized top down schemes which do not engage the workers will never succeed. No matter how much you paid the management consultants and special advisers to write them.
And if Americans are looking for a scheme to emulate then the UK NHS probably is not it.
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