1st Edition
Conflicts in the National Health Service
Originally published in 1977, this book explored some of the major problems besetting the Health Service during the second half of the twentieth century. Now, as then, they offer both historical perspective on contemporary difficulties and invite debate about the future development of health services. The main themes are the medical care system and its organisational structures; the managers and the providers of the system, their tasks and responses; the resources available whether financial, human or material; and finally the consumers and their influence upon the overall direction of the system.
1. Promises, Patients and Politics: The Conflicts of the NHS Keith A. Barnard 2. Medical Autonomy: Challenge and Response Mary Ann Elston 3. Access and Efficiency in Medical Care: A Consideration of Accident and Emergency Services Arthur Gunawardena and Kenneth Lee 4. Patients: Receivers or Participants? Malcolm L. Johnson 5. Power, Patients and Pluralism Chris J. Ham 6. Participation or Control? The Workers’ Involvement in Management Stuart J. Dimmock 7. Health Administration and the Jaundice of Reorganisation J. Crossley Sunderland 8. Making Reorganisation Work: Challenges and Dilemmas in the Development of Community Medicine David Towell 9. Planning, Uncertainty and Judgement: The Case of Population Andrew F. Long 10. Public Expenditures, Planning and Local Democracy Kenneth Lee.
Biography
Keith Barnard was Deputy Director and Lecturer in Health Planning at the Nuffield Centre for Health Services Studies, University of Leeds, UK. Kenneth Lee was Lecturer in Health Economics at the Nuffield Centre for Health Services Studies, University of Leeds, UK.
'Overall this book provides a useful window on questions thought to be important by knowledgeable teachers and critics of the NHS...of particular interest are the essays on planning and administration at the local level...' Rosemary Stevens, Tulane University, USA.
