NHS: inequality and incorporation

Race & Class ◽  
2021 ◽  
Vol 63 (2) ◽  
pp. 76-81
Author(s):  
Wayne Farah

As chief executive Simon Stevens ends his stint at the helm of England’s National Health Service (NHS), a Black health activist takes a critical look at the direction of travel on racial equality under his leadership. He argues that ‘racial democracy’, i.e., ethnic representation or diversity, has displaced the rooting out of racialised injustice and inequality. Using the example of the health service, he reveals just how the struggle against racism in institutions has been reduced under neoliberalism to a mechanical mathematics of inequality. While, simultaneously, long-discarded eugenicist and biological arguments are making an unwelcome comeback, and the ‘hostile environment’, ushered in by New Labour when Stevens was a health adviser, takes its toll on migrants and refugees.

2000 ◽  
Vol 30 (2) ◽  
pp. 309-334 ◽  
Author(s):  
Steve Iliffe ◽  
James Munro

Britain's National Health Service (NHS) has been the subject of unprecedented market reforms, which have failed to solve its problems. The New Labour government elected in 1997 has halted the drive toward the marketization of health care and replaced cost with quality as the central concern of NHS administration and policy. Major changes are occurring in the regulation of professional activity, with profound implications for the medical profession and the health service. The authors discuss these changes and possible future problems for the NHS.


2006 ◽  
Vol 53 (2) ◽  
pp. 111-130
Author(s):  
Grazia Ietto-Gillies

The paper discusses the main aims and characteristics of the three Ways in British economics and politics: the First Way refers to the period from after WWII to the mid 1970s; the second Way refers to the Conservative Government period starting from 1979; and the Third Way to the New Labour Government period since 1997. These three Ways are considered in relation to their main characteristics, the policies of the relevant governments and the problems they have encountered. The New Labour policies are analyzed in more details by reference to the case of the National Health Service. The reasons why the New Labour Way is different from the second Way as well as the problems it is facing are highlighted. A discussion of why New Labour has taken the Third Way route follows.


1999 ◽  
Vol 29 (2) ◽  
pp. 353-370 ◽  
Author(s):  
Martin Powell

The British Labour Party claims that its policies are based on a “third way,” new and distinct from both the old left and the new right. This article critically examines this claim with respect to health policy. After examining the Conservative legacy in the National Health Service and the evolution of Labour's health policy, the author introduces the concept of the “third way” and discusses the extent to which Labour's health policy can be seen in these terms, using the themes of spending, competition, accountability, and public health. There are many differences between the health policies of New and Old Labour, and some differences between those of New Labour and the Conservatives. Indeed, to a large extent Labour's health policy is built on the legacy of the Conservatives and is characterized by evolution. It is difficult to find any “big idea” or coherent philosophy behind the third way. Rather than being a new and distinctive approach rejecting both the old left and the new right, it seems to be a pragmatic pick and mix, attempting to combine the best from the market approach of the Conservatives and the hierarchical approach of Old Labour.


Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath

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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