Forecasting the impact of demographic change: the case of the British National Health Service

Health Policy ◽  
1992 ◽  
Vol 20 (3) ◽  
pp. 269-275 ◽  
Author(s):  
Alastair M. Gray ◽  
Nick Bosanquet
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Demographic Change ◽  
The Impact ◽  
British National Health

The lost worlds of royal commissions in the NHS: The unaccountable in pursuit of the unanswerable?

2019 ◽  
Vol 37 (2) ◽  
pp. 199-217
Author(s):  
Martin Powell
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Royal Commission ◽  
Select Committee ◽  
House Of Lords ◽  
The Impact ◽  
British National Health ◽  
Advisory Bodies

There have been recent calls for a royal commission (RC) on the British National Health Service (NHS). This article focuses on the impact of RCs and similar advisory bodies, particularly on finance recommendations, of three inquiries with broad remits across the whole of the NHS from very different periods: Guillebaud (1956); Royal Commission on the National Health Service (1979); and House of Lords Select Committee on the Long-term Sustainability of the NHS (2017). These inquiries appear to have had rather limited impacts, especially on NHS funding. First, there appears to be some hesitancy in suggesting precise figures for NHS expenditure. Second, the reports are advisory, and governments can ignore their conclusions. Third, governments have ignored their conclusions. In the 1950s and the 1980s, contrary to the recommendations of the inquiries, NHS expenditure subsequently grew only slowly, and charges were increased. In short, asking an independent RC to provide answers on NHS expenditure is perhaps the unaccountable in pursuit of the unanswerable.

The costs of nursing turnover: evidence from the British National Health Service

Health Policy ◽  
1996 ◽  
Vol 38 (2) ◽  
pp. 117-128 ◽  
Author(s):  
Alastair M. Gray ◽  
V.L. Phillips ◽  
Charles Normand
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nursing Turnover ◽  
British National Health

‘Playing’ Doctors and Nurses? Competing Discourses of Gender, Power and Identity in the British National Health Service

2003 ◽  
Vol 51 (2) ◽  
pp. 218-237 ◽  
Author(s):  
Pauline Leonard
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Organizational Sociology ◽  
Personal Qualities ◽  
And Performance ◽  
Feminist Poststructuralist ◽  
The Relationship ◽  
British National Health ◽  
Doctors And Nurses

This paper adopts a feminist poststructuralist approach to demonstrate the ambiguities and complexities which exist in the relationship between work and subject. Recent studies in organizational sociology have argued that the discourses of work, and changing working cultures, have had a powerful effect on the production of subjectivities. New forms of working behaviour have been constructed as desirable, which often draw on personal qualities such as gender. This paper draws on research conducted with doctors and nurses in the British National Health Service to reveal the ambiguities which exist in the ways in which individuals position themselves in relation to these discourses. The discourses of work and organization are constantly mediated through, and destabilised by, the intertextuality that exists with competing discourses such as those of professionalism, gender, home and performance. Although organizational discourses are clearly powerful in the construction and performance of subjectivities, the interplay between discourses means that these are constantly destabilised and undermined.

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