The National Health Service in Scotland, 1947–74: Scottish or British?*

2003 ◽  
Vol 76 (193) ◽  
pp. 389-410 ◽  
Author(s):  
John Stewart
Keyword(s):  
Great Britain ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
National Health ◽  
The Other ◽  
Thematic Approach ◽  
The One ◽  
Scottish History ◽  
High Degree

Abstract Using previously unused or underused primary evidence, this article analyses the National Health Service in Scotland from its inception in 1947 to the reorganization of 1974. A thematic approach is adopted to show that, on the one hand, the Scottish health services were subject to similar Treasury constraints on expenditure as elsewhere in Great Britain; but that, on the other, there is a strong case for seeing the N.H.S. in Scotland as exhibiting a high degree of autonomy. It is further argued that this was, from the outset, justified and consolidated by the particular characteristics of Scottish history, geography and governance.

Change in the British National Health Service: Policy Paradox and the Rationing Issue

1994 ◽  
Vol 24 (1) ◽  
pp. 45-72 ◽  
Author(s):  
Brian Salter
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The Other ◽  
The Political ◽  
The United Kingdom ◽  
The Face ◽  
Service Policy ◽  
The One

The National Health Service of the United Kingdom is trapped in a policy paradox. On the one hand, the 1990 reforms encourage the devolution of power to local purchaser and provider units through the operation of the “internal market.” On the other, mechanisms of control and accountability are being revamped to produce a centrally managed system bound together by corporate contracts. The political frictions generated by this paradox are exacerbated by the problem of rationing health care in the face of apparently unlimited demand. This article examines the political problems faced by a single Health Authority as it sought to implement the changes required of it by the conflicting policies.

Introduzione: Introduction

1995 ◽  
Vol 62 (2) ◽  
pp. 273-274
Author(s):  
S. Guazzieri
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Early Diagnosis ◽  
Secondary Prevention ◽  
National Health ◽  
The Other ◽  
Primary And Secondary Prevention ◽  
Family Doctors ◽  
The Military ◽  
Urological Diseases

The importance of early diagnosis is by now accepted. As urological pathologies predominantly involve men, it is natural for the urologist to seek co-operation regarding primary and secondary prevention with the Medical Corps. Paediatricians and family doctors are the other professional figures who play a fundamental role in this field. The records are given of the congress “Prevention and early diagnosis of urological diseases” between the Military Corps and the National Health Service, held at Belluno in June 1994.

scholarly journals The Political Economy of the British National Health Service, 1945–1975: Opportunities and Constraints?

2008 ◽  
Vol 52 (4) ◽  
pp. 453-470 ◽  
Author(s):  
John Stewart
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Conservative Party ◽  
Labour Party ◽  
Central Component ◽  
Annual Conference ◽  
British Identity ◽  
Defence Spending ◽  
High Degree

The National Health Service (NHS) has often been regarded, by both academic commentators and the public, as the centrepiece of Britain's welfare state. It has retained a high degree of popularity, and politicians have had to take account of this, privately and publicly. So, for example, in the late 1950s a leading Conservative observed that the electorate might accept cuts in defence spending: “But meddle with National Health? That's political suicide.” A quarter of a century later Margaret Thatcher felt obliged to declare at the Conservative Party annual conference that “the National Health Service is safe with us”. The Labour Party has been particularly keen to associate itself with the NHS, playing on its central role in the service's creation. At the 2001 general election, for instance, the manifesto of the Scottish Labour Party proclaimed that: “For over 50 years, the NHS has been part and parcel of what it means to be British. Its foundations—tax-based funding and care according to need—remain as valid today as ever.” In doing so, it stressed the service's founding principles alongside the assertion that it is a central component of British identity.

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.

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