Submission by the British Association for Behavioural Psychotherapy to the Royal Commission on the National Health Service

1977 ◽  
Vol 5 (4) ◽  
pp. 112-114
2019 ◽  
Vol 37 (2) ◽  
pp. 199-217
Author(s):  
Martin Powell

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.


1980 ◽  
Vol 10 (4) ◽  
pp. 611-645 ◽  
Author(s):  

Many influential British groups have taken the opportunity provided by the Royal Commission on the National Health Service to put forward proposals which would fundamentally damage that service. In this paper we discuss the implications of some of these proposals, and explain why we defend the NHS as the basis of an equitable method of providing health care. We consider the various methods which have been suggested to increase the revenue of the NHS. We compare the experiences of several Western countries, and show that the method of financing inevitably affects the pattern of medical care and the indices of health and illness. We examine the underlying motives of many critics of the NHS, and document the development of private medicine in the United Kingdom. We continue by discussing ways in which less money could be spent on health care without detriment to the patient. As an example, we look at several surgical procedures in detail and demonstrate the costs of uncertainty in surgical practice. Finally, we consider the continuing power of the medical profession, how it is maintained, and its implications. We conclude by summarizing why we support the NHS despite its imperfections, and why attempts to undermine it should be resisted.


2017 ◽  
Vol 11 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Alexios Tsiotras ◽  
R Daron Smith ◽  
Ian Pearce ◽  
Kieran O’Flynn ◽  
Oliver Wiseman

These guidelines have been developed by the British Association of Urological Surgeons to give a framework to clinicians, based primarily in the UK, for the management of patients presenting acutely with ureteric colic. They have been developed by consensus with reference to the American Urological Association/Endourological Society guidelines on the surgical management of stones and the European Association of Urology guidelines on urolithiasis, and adapted to the logistics of those practicing within the National Health Service. Grades of recommendation and levels of evidence are based upon the system adopted by the European Association of Urology.


Sign in / Sign up

Export Citation Format

Share Document