Simultaneous Use of Public and Private Specialist Services as a Potential Strategic Behaviour in Access to the National Health Service: Is There a Pattern by Socio-economic Level?

2019 ◽  
Vol 32 (3) ◽  
pp. 255-276 ◽  
Author(s):  
M. A. Negrín ◽  
J. Pinilla ◽  
I. Abásolo
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Public And Private ◽  
Strategic Behaviour ◽  
Economic Level ◽  
Specialist Services ◽  
Simultaneous Use ◽  
Private Specialist

scholarly journals Specialist personality disorder services in England: a case for managed clinical networks?

2005 ◽  
Vol 29 (10) ◽  
pp. 365-368 ◽  
Author(s):  
Kingsley Norton ◽  
Julian Lousada ◽  
Kevin Healy
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Personality Disorder ◽  
Health Service ◽  
Personality Disorders ◽  
National Health ◽  
Clinical Networks ◽  
Department Of Health ◽  
Specialist Services

Following the publication by the National Institute for Mental Health in England (NIMHE) of Personality Disorder: No Longer A Diagnosis of Exclusion (National Institute for Mental Health in England, 2003), it is perhaps surprising that so soon after there have been threats to the survival of some of the small number of existing specialist personality disorder services to which it refers. Indeed, one of the few in-patient units specialising in such disorders (Webb House in Crewe) closed in July 2004. Such closures or threats argue for closer collaboration in planning between the relevant secondary and tertiary services and also between the Department of Health, the NIMHE and local National Health Service commissioners. Not safeguarding existing tertiary specialist services, at a time of increasing awareness of the needs of patients with personality disorders, may be short-sighted.

Healthcare Providers in the English National Health Service

2013 ◽  
pp. 106-123
Author(s):  
Pauline Allen ◽  
Will Bartlett ◽  
Virginie Pérotin ◽  
Greenwell Matchaya ◽  
Simon Turner ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Social Control ◽  
National Health ◽  
Healthcare Providers ◽  
Three Dimensions ◽  
Public And Private ◽  
Private Providers ◽  
English National Health ◽  
English National Health Service

In recent years it has been noted that boundaries between public and private providers of many types of welfare have become blurred. This paper uses three dimensions of publicness to analyse this blurring of boundaries in relation to providers of healthcare in England. The authors find that, although most care is still funded and provided by the state, there are significant additional factors in respect of ownership and social control which indicate that many English healthcare providers are better understood as hybrids. Furthermore, the authors raise concerns about the possible deleterious effects of diminishing aspects of publicness on English healthcare. The most important of these is a decrease in accountability.

Portugal

2021 ◽  
pp. 275-306
Author(s):  
Maria Asensio
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Health System ◽  
National Health ◽  
Market Mechanisms ◽  
Public And Private ◽  
Health Politics ◽  
Provision Of Services ◽  
Constitutional Right ◽  
Public Private Mix

This chapter provides an extended look at health politics and the health system in Portugal, characterized by overlapping tiers of coverage including a national health service. The chapter traces the historical development of the Portuguese healthcare system through a series of regime changes, particularly the transition from conservative dictatorship to democracy beginning in 1974. Since the 1979 foundation of the National Health Service, the main issues facing the health system have been the relationship between public and private provision of services and the system’s fiscal solvency. A 1989 constitutional revision, which redefined healthcare from being a constitutional right to universal free healthcare to one which “tended towards” no cost at the time of treatment and was based on individuals’ particular social and economic situation, shifted the system away from universalism, removed obstacles to privatization, and allowed the introduction of other forms of market mechanisms. As the chapter argues, though left and right political parties have differed in their approaches, actors in health politics seem to have largely agreed to move in the direction of a public–private mix of service providers.

Healthcare Providers in the English National Health Service

2011 ◽  
Vol 1 (3) ◽  
pp. 1-18 ◽  
Author(s):  
Pauline Allen ◽  
Will Bartlett ◽  
Virginie Pérotin ◽  
Greenwell Matchaya ◽  
Simon Turner ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Social Control ◽  
National Health ◽  
Healthcare Providers ◽  
Three Dimensions ◽  
Public And Private ◽  
Private Providers ◽  
English National Health ◽  
English National Health Service

In recent years it has been noted that boundaries between public and private providers of many types of welfare have become blurred. This paper uses three dimensions of publicness to analyse this blurring of boundaries in relation to providers of healthcare in England. The authors find that, although most care is still funded and provided by the state, there are significant additional factors in respect of ownership and social control which indicate that many English healthcare providers are better understood as hybrids. Furthermore, the authors raise concerns about the possible deleterious effects of diminishing aspects of publicness on English healthcare. The most important of these is a decrease in accountability.

scholarly journals Polyclinics and psychiatry: risks and opportunities

2010 ◽  
Vol 34 (3) ◽  
pp. 106-109
Author(s):  
Linda Gask ◽  
Suresh Joseph ◽  
Michele Hampson
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Centre ◽  
Mental Healthcare ◽  
Shared Space ◽  
Specialist Services ◽  
Working Practices ◽  
The Way

SummaryThe arrival of the ‘polyclinic’ or ‘GP-led health centre’ has been signalled in the review of the National Health Service. A variety of options have been proposed for the way in which polyclinics will incorporate specialist services to work alongside primary care, and the relevance of these models to mental healthcare is considered. Polyclinics provide new opportunities but with those possibilities come potential threats and risks. Of key importance is the threat that they will re-institutionalise mental healthcare after many years of breaking down such barriers. Buildings provide shared space, but new working practices are more difficult to achieve.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

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