The technical efficiency of oral healthcare provision: Evaluating role substitution in National Health Service dental practices in England

Ensuring clinically effective practice and service models is now a major challenge for the National Health Service. It requires a clear focus on the purpose of healthcare provision – care which is most likely to result in the best possible individual or population outcomes within existing resources.

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Financial Governance and the NHS

Advances in Healthcare Information Systems and Administration - The NHS and Contemporary Health Challenges From a Multilevel Perspective ◽

10.4018/978-1-7998-3928-6.ch002 ◽

2020 ◽

pp. 36-65

Keyword(s):

National Health Service ◽

Health Service ◽

National Health ◽

Essential Medicines ◽

Financial Control ◽

Healthcare Provision ◽

Financial Costs ◽

Point Of Use ◽

Financial Governance

Faced with significant difficulties to meet financial costs owing to increased demand for healthcare, National Health Service (NHS) organisations are looking to maintain tight financial control and reduce expenditure where possible. Significant price hikes in essential medicines can also raise challenges to the supply of necessary drugs for the population. The NHS continues to supply healthcare free at the point of use and any attempts to introduce charges remain unpopular. There have been a number of ways in which providers endeavour to reduce costs: rationalisation (reduction of services or certain costly drugs) or through increasing the role of private providers in healthcare provision. This chapter thus reviews the funding challenges the NHS is currently facing and how financial governance is evolving to meet those challenges.

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Visions of utopia: markets, medicine and the National Health Service

Legal Studies ◽

10.1111/j.1748-121x.2009.00126.x ◽

2009 ◽

Vol 29 (3) ◽

pp. 376-399 ◽

Cited By ~ 5

Author(s):

John Harrington

Keyword(s):

National Health Service ◽

Health Service ◽

National Health ◽

Fiscal Crisis ◽

Social Critique ◽

Medical Work ◽

Healthcare Provision ◽

Post War ◽

Richard Titmuss ◽

War Medicine

Legislative restrictions on the sale of organs, gametes and surrogacy services are often seen as having no basis other than mere prejudice or taboo. This paper argues instead that they can be read as instances of a broader decommodification of healthcare provision established in Britain with the creation of the NHS in 1948. Restrictions on the marketisation of medicine were justified by Aneurin Bevan, the founder of the NHS, and by Richard Titmuss, one of its chief academic defenders, in distinctly utopian terms. On this vision, the NHS would function as a utopian enclave prefiguring an idealised non-capitalist future. This commonsense of post-war medicine was fatally destabilised by fiscal crisis and social critique in the 1970s. Influential commentators like Ian Kennedy developed an anti-utopian account of the real NHS and proposed legalistic and market-based reform. These reforms sought to dissolve the enclave, assimilating medical work and the NHS as a whole to broader systems of accounting and accountability. Insofar as they have been realised, they achieve a recommodification of medicine in Britain. The paper concludes by examining recent studies of the ‘new NHS’, which see in the latter-day idealisation of market processes a novel form of self-denying utopianism.

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Barriers Encountered Using Skill-Mix to Deliver Caries Prevention in Dental Practices

Primary Dental Care ◽

10.1308/135576112800185287 ◽

2012 ◽

Vol os19 (2) ◽

pp. 53-57 ◽

Cited By ~ 2

Author(s):

Eman Hatim ◽

Nick Kendall

Keyword(s):

National Health Service ◽

Health Service ◽

National Health ◽

Training Programme ◽

Caries Prevention ◽

Fluoride Varnish ◽

Dental Services ◽

Skill Mix ◽

Pilot Scheme ◽

Dental Practices

This opinion paper provides an analysis of the barriers and successes experienced when developing and implementing a pilot scheme to deliver caries prevention using skill-mix in the National Health Service (NHS) General Dental Services. A training programme was initiated to develop the skills of extended duties dental nurses to deliver fluoride varnish to patients in selected dental practices in Croydon, London, UK. In the light of the evaluation of this programme, a recommendation is made that similar preventive schemes should be delivered in the future within the NHS dental contract.

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MEDIA REVIEWS. Health Policy in Britain: the Politics and Organization of the National Health Service 4th Edition, by Christopher Ham. Macmillan, London, 1999, 237 pages, f45.00 (hardback) ISBN 0 333 71705 8, f14.99 paperback, ISBN 0 333 69349 3.

Journal of Advanced Nursing ◽

10.1046/j.1365-2648.2000.1210l.x ◽

2000 ◽

Vol 32 (4) ◽

pp. 1037-1037

Author(s):

Andy Alaszewski

Keyword(s):

Health Policy ◽

National Health Service ◽

Health Service ◽

National Health

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Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽

10.1024/1012-5302/a000081 ◽

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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