scholarly journals Emotions, Social Practices and the Changing Composition of Class, Race and Gender in the National Health Service, 1970–79: ‘Lively Discussion Ensued’

2019 ◽  
Vol 88 ◽  
pp. 204-228 ◽  
Author(s):  
Jack Saunders
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Trade Unions ◽  
Public Employees ◽  
National Union ◽  
Service Employees ◽  
Race And Gender ◽  
Trade Unionism ◽  
And Gender

Abstract During the 1970s, Britain’s trade unions expanded into new areas of the economy, making considerable progress among the low-paid workers of the expanding welfare state. The Confederation of Health Service Employees (COHSE) and the National Union of Public Employees (NUPE) both made huge strides recruiting women and particularly women of colour in the National Health Service, as the laundry, cleaning, catering and portering services of Britain’s hospitals became union strongholds. This article questions why the increased weight of feminized service work is so marginal in our idea of 1970s workplace activism and why it features so rarely in histories of British trade unionism, despite being one of the movement’s most significant growth areas. Drawing on NUPE’s photographic archive, I argue that by looking at the changing character of worker-activist visual culture in this period we can reinsert women and women of colour back into those histories. This is followed by a close reading of trade-union branch minutes which explores how women re-ordered the gendered hierarchy of both their male-dominated union and their hospital between 1970 and 1979, exercising new-found agency within the highly paternalist setting of the NHS.

The Closed Shop and the National Health Service: A Case Study in Public Sector Labour Relations

1988 ◽  
Vol 17 (1) ◽  
pp. 61-81 ◽  
Author(s):  
Stephen Harrison
Keyword(s):  
National Health Service ◽  
Public Sector ◽  
Health Service ◽  
National Health ◽  
Health Authority ◽  
Trade Unions ◽  
Industrial Relations ◽  
Labour Relations

ABSTRACTDuring the second half of the 1970s, the practice of the closed shop became widespread in some parts of the British public sector, but was resisted in others. This paper examines the issue in relation to the National Health Service, where trade unionists made frequent demands for the closed shop and where many managers were apparently not unwilling to concede it. Yet very few closed shops actually resulted. The paper examines the origin and patterns of these demands, health authority policies towards them, and their outcomes in terms both of the operation of the closed shops which were agreed, and the reasons for failure to agree. The conclusion is that although NHS industrial relations had apparently matured very rapidly between 1973 and 1977, the trade unions were neither strong enough nor united enough to enforce the closed shop; nor were industrial relations so far developed as to make the practice a natural next step.

Nurses and Trade Unions in Britain

1976 ◽  
Vol 6 (4) ◽  
pp. 641-649 ◽  
Author(s):  
Susan Scott Lewis
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Labor Movement ◽  
Trade Unions ◽  
Service Trade ◽  
Professional Body ◽  
Partial Success

The nature of the negotiating body for pay and conditions of nurses in Britain and some of the reasons for the body's past failure to negotiate a substantial pay increase for nurses are described in this article. A description is given of a series of events, including strike action by nurses during 1974, which led to a substantial pay raise. The pay award, however, represented only a partial success for the trade unions and the negotiating body. Methods of nurses' organization and the roles of their representative unions and professional body indicate some of the reasons for only a partial success. The lack of unity between the National Health Service trade unions and the reactionary role of the professional body were notable. However, many important political and organizational lessons were learned by nurses in this struggle. We are now facing savage cuts in National Health Service expenditure, leading to a reduction in the number of nurses employed. These lessons are clearly useful for the nurses and their organization with the labor movement in fighting these cuts in National Health Service expenditure.

The ethics of gender reassignment surgery

2021 ◽  
pp. 1573-1576
Author(s):  
Oliver Fenton
Keyword(s):  
United Kingdom ◽  
Patient Satisfaction ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Gender Dysphoria ◽  
Gender Reassignment Surgery ◽  
The United Kingdom ◽  
Gender Reassignment ◽  
And Gender

Transgender issues are very much in the news at present. There has been discussion about both gender dysphoria in general but, more specifically, the practical, psychological, and financial implications of carrying out gender reassignment surgery. In the United Kingdom, this extends to a debate on whether it is justifiable to carry out these procedures within an already hard-pressed National Health Service. This chapter discusses the nature, history, and background of both gender dysphoria and gender reassignment surgery and whether such procedures are justifiable in terms of outcomes and patient satisfaction; and also whether these are legitimate procedures to carry out within the National Health Service.

scholarly journals Race-ethnic and gender differences in representation within the English National Health Service: a quantitative analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034258 ◽  
Author(s):  
Adrienne Milner ◽  
Elizabeth Baker ◽  
Samir Jeraj ◽  
Jabeer Butt
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Gender Disparity ◽  
Gender Disparities ◽  
National Study ◽  
Chinese People ◽  
White People ◽  
Service Staff ◽  
And Gender

ObjectivesTo evaluate race-ethnic and gender disparities in National Health Service (NHS) England employment in position, prestige and pay.DesignNational study using data from NHS Digital.SettingTrusts and clinical commissioning groups in England.Participants1 105 390 NHS Hospital and Community Health Service staff.ResultsChinese people (42.9%, 95% CI 41.7% to 44.1%) are the most likely to be employed as doctors, followed by Asians (28.6%, 95% CI 28.3% to 28.8%) and people of mixed race/ethnicity (17.9%, 95% CI 17.3% to 18.4%); while white people (6.8%, 95% CI 6.7% to 6.8%) are less likely to be employed as doctors. However, white doctors are the most likely to be in the highest paid positions: 46.0% (95% CI 45.6% to 46.4%) of white doctors are consultants, whereas only 33.4% (95% CI 31.6% to 35.2%) of Chinese doctors are consultants. Black people are under-represented both among doctors and as consultants: 6.5% (95% CI 6.4% to 6.7%) of black employees are doctors and 30.6% (95% CI 29.2% to 32.0%) of black doctors are consultants. We found similar results for nurses and health visitors, where white people are over-represented in the higher pay bands. However, among support staff for doctors, nurses and midwives, we found that Chinese people were over-represented in the higher pay bands. These race-ethnic differences were similar for women and men. Additionally, we found that men were more likely to be employed in higher pay bands than women, and this gender disparity was apparent across race-ethnic groups.ConclusionsRace-ethnic and gender disparities exist in the NHS in position, prestige and pay. To begin to overcome such disparities, the NHS must collect data using consistent race-ethnic categories in order to examine differences over time.

Unions and Strikes in the National Health Service in Britain

1976 ◽  
Vol 6 (2) ◽  
pp. 301-308 ◽  
Author(s):  
David Widgery
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Trade Unions ◽  
Hospital Worker ◽  
Industrial Action ◽  
Medical Issues ◽  
National Debate ◽  
Wide Range ◽  
Wage Increases

This article outlines the origins of the main manual and white-collar trade unions in the British Health Service, traces their growth after the establishment of the National Health Service in 1949, and examines the wave of industrial action in British hospitals in the seventies. It is argued that although strike action inside hospitals in the early seventies was a novel tactic adopted as a last resort by manual workers pressing for wage increases, industrial action over a wide range of political and medical issues has now been taken by all types of hospital worker in Britain and plays a central part in the national debate over the future of the National Health Service.

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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