Could local integration of health and social care finally overcome the pull to the centre?

2018 ◽  
Vol 14 (1) ◽  
pp. 15-18
Author(s):  
Anna Dixon
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Social Care ◽  
70Th Birthday ◽  
Radical Reform ◽  
Use Of Data ◽  
Health And Social Care ◽  
Local Integration ◽  
Equity Of Access ◽  
Fundamental Shift

AbstractThere are several advantages of Bevan’s design, such as progressive funding through taxation and equity of access regardless of income, that we must not lose sight of as we celebrate the NHS’s (National Health Service) 70th birthday. However, there remain historical fault-lines dividing health and social care. The challenge is how to preserve equity if a more radical reform were implemented to fully integrate both the funding and delivery of health and social care. Funding from national taxation with defined entitlements could preserve both equity in funding and geographical equity. This does not solve the issue of the pull to the centre, which has been a feature of the NHS throughout its history, according to Klein. This will require a fundamental shift in the use of data. Data must be wrenched from the hands of the regulators and put back in the hands of those who generate them for the purposes of improvement.

scholarly journals Research productivity of staff in NHS mental health trusts: comparison using the Leiden method

2014 ◽  
Vol 38 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Alex J. Mitchell ◽  
John Gill
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Research ◽  
Research Productivity ◽  
Social Care ◽  
Clinical Implications ◽  
Clinical Services ◽  
Health And Social Care

Aims and methodTo examine research productivity of staff working across 57 National Health Service (NHS) mental health trusts in England. We examined research productivity between 2010 and 2012, including funded portfolio studies and all research (funded and unfunded).ResultsAcross 57 trusts there were 1297 National Institute for Health Research (NIHR) studies in 2011/2012, involving 46140 participants and in the same year staff in these trusts published 1334 articles (an average of only 23.4 per trust per annum). After correcting for trust size and budget, the South London and Maudsley NHS Foundation Trust was the most productive. In terms of funded portfolio studies, Manchester Mental Health and Social Care Trust as well as South London and Maudsley NHS Foundation Trust, Oxford Health NHS Foundation Trust and Cambridgeshire and Peterborough NHS Foundation Trust had the strongest performance in 2011/2012.Clinical implicationsTrusts should aim to capitalise on valuable staff resources and expertise and better support and encourage research in the NHS to help improve clinical services.

scholarly journals The Health and Social Care Act 2012: what will it mean for mental health services in England?

2012 ◽  
Vol 36 (11) ◽  
pp. 401-403 ◽  
Author(s):  
Frank Holloway
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
National Health ◽  
Social Care ◽  
Health And Social Care

SummaryThe Health and Social Care Act 2012 brings in profound changes to the organisation of healthcare in England. These changes are briefly described and their implications for mental health services are explored. They occur as the National Health Service (NHS) and social care are experiencing significant financial cuts, the payment by results regime is being introduced for mental health and the NHS is pursuing the personalisation agenda. Psychiatrists have an opportunity to influence the commissioning of mental health services if they understand the organisational changes and work within the new commissioning structures.

scholarly journals Contemporary medical television and crisis in the NHS

2016 ◽  
Vol 11 (2) ◽  
pp. 136-150 ◽  
Author(s):  
Hannah Hamad
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Cultural Politics ◽  
National Health ◽  
Social Care ◽  
Historical Overview ◽  
Current Crisis ◽  
Health And Social Care ◽  
Contextual Relation

This article maps the terrain of contemporary UK medical television (TV), paying particular attention to Call the Midwife as its centrepiece, and situating it in contextual relation to the current crisis in the National Health Service. It provides a historical overview of UK and US medical TV, illustrating how medical TV today has been shaped by noteworthy antecedents. It argues that crisis rhetoric surrounding healthcare leading up to the passing of the Health and Social Care Act 2012 has been accompanied by a renaissance in medical TV; and that issues, strands and clusters have emerged in forms, registers and modes with noticeable regularity, especially around the value of affective labour, the cultural politics of nostalgia and the neo-liberalization of healthcare.

scholarly journals Improving the Health of the Homeless and How to Achieve It within the New NHS Architecture

2020 ◽  
Vol 17 (11) ◽  
pp. 4100
Author(s):  
Paul Batchelor ◽  
James Kingsland
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Social Care ◽  
Reform Policy ◽  
Health And Social Care ◽  
Collaborative Working ◽  
Two Sectors ◽  
Policy Vision

The publication of the National Health Service (NHS) Long Term Plan sees the creation of Primary Care Networks as the most appropriate solution to help improve overall health and address health inequalities. A key segment of society that suffers from poor health is the homeless. While the potential for the group to benefit from the NHS reform policy programme in England exists, it requires stronger collaborative working between the health and social care sectors Not least the new arrangements provide opportunities to tackle existing disease as well as the determinants of future ill health. However, if the policy vision is to be achieved, relations between the two sectors must occur and cross sector boundaries be broken down.

scholarly journals The regulation of competition in the National Health Service (NHS): what difference has the Health and Social Care Act 2012 made?

2016 ◽  
Vol 12 (1) ◽  
pp. 1-19 ◽  
Author(s):  
Marie Sanderson ◽  
Pauline Allen ◽  
Dorota Osipovic
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Social Care ◽  
Competition Law ◽  
Health And Social Care ◽  
Specific Regulation ◽  
The Impact ◽  
English National Health ◽  
English National Health Service

AbstractThis article examines the impact of the Health and Social Care Act 2012 on the regulation of competition in the English National Health Service (NHS), by focussing on the change it marked from a system of sector-specific regulation to one which is clearly based in competition law. It has been suggested that the Act and its associated reforms would significantly alter accountability in the NHS, and would change decisions from the remit of public policy to that of the law. To assess the impact the Act has had in practice, the article compares the interpretation of the rules regarding competition in the NHS by the regulators of competition immediately before, and following, the passing of the Act. It argues that, whilst the reforms have the potential significantly to alter the way competition in the NHS is regulated, the impact of the reforms in this area is limited by the development of systems within the NHS to manage and resolve issues internally where possible.

Principles for telemedicine and telecare: The perspective of a citizens’ panel

2005 ◽  
Vol 11 (1_suppl) ◽  
pp. 66-68 ◽  
Author(s):  
Maggie Mort ◽  
Tracy Finch
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Service Delivery ◽  
National Health ◽  
Social Care ◽  
Policy And Practice ◽  
Health Technologies ◽  
Political Relations ◽  
Health And Social Care

Ten delegates at the conference Voluntarism, Health and Social Care were recruited to form a panel of citizens to debate and offer direction for the future of technologically mediated health care. The panel suggested various principles for the development of telemedicine and telecare, concerning: patients, users and carers, approach to service delivery, research and knowledge, and conditions of use. Many of the principles echoed the founding values of the National Health Service, yet have arguably been absent from both policy pronouncements and the telemedicine literature, which largely views new health technologies themselves as ‘value free’, i.e. developed untouched by social and political relations. A programme of citizens’ panels should be developed so that an informed debate can take place about the development of telemedicine and telecare, to underpin policy and practice.

scholarly journals The regulation of competition and procurement in the National Health Service 2015–2018: enduring hierarchical control and the limits of juridification

2019 ◽  
Vol 15 (3) ◽  
pp. 308-324 ◽  
Author(s):  
Dorota Osipovič ◽  
Pauline Allen ◽  
Marie Sanderson ◽  
Valerie Moran ◽  
Kath Checkland
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Hierarchical Control ◽  
Economic Regulation ◽  
Regulatory Decision ◽  
Health And Social Care ◽  
Legislative Framework ◽  
Limited Degree ◽  
Regulatory Decisions

AbstractSince 1990, market mechanisms have occurred in the predominantly hierarchical National Health Service (NHS). The Health and Social Care Act 2012 led to concerns that market principles had been irrevocably embedded in the NHS and that the regulators would acquire unwarranted power compared with politicians (known as ‘juridification’). To assess this concern, we analysed regulatory activity in the period from 2015 to 2018. We explored how economic regulation of the NHS had changed in light of the policy turn back to hierarchy in 2014 and the changes in the legislative framework under Public Contracts Regulations 2015. We found the continuing dominance of hierarchical modes of control was reflected in the relative dominance and behaviour of the sector economic regulator. But there had also been a limited degree of juridification involving the courts. Generally, the regulatory decisions were consistent with the 2014 policy shift away from market principles and with the enduring role of hierarchy in the NHS, but the existing legislative regime did allow the incursion of pro market regulatory decision making, and instances of such decisions were identified.

Health Care Accommodation in Scotland

1982 ◽  
Vol 27 (4) ◽  
pp. 325-330
Author(s):  
James Maclachlan
Keyword(s):  
Health Care ◽  
Social Work ◽  
National Health Service ◽  
Health Service ◽  
Social Care ◽  
Community Services ◽  
Tabular Form ◽  
Hospital Beds ◽  
The Common ◽  
The Cost

The Medical and Nursing Advisers of the Scottish Health Service, Common Services Agency, Building Division, advise upon the planning of health care accommodation. The overall spread of beds by function is given in a review of existing health care buildings in the year 1981. The numbers of hospital beds and of various groups of staff in the hospital and community services are calculated per 100,000 population so that any unusual disparity can be ascertained. One of the parameters for health building planning is fiscal control and so the cost per hospital in-patient week is tabulated for eight groups of specialities. The appropriate responsibilities of the Regional Councils in Scotland in 1979 are considered along with the responsibilities of Health Boards because part of each Social Work Department's work is the provision of accommodation and social care for those in need as opposed to the National Health Service responsibility for the health care of those in hospital and in the community. An overall view of residential accommodation for those requiring medical treatment or social care is presented in tabular form. The views expressed are not necessarily those of the Common Services Agency.

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