Pension reforms

2013 ◽  
Vol 4 (1) ◽  
pp. 34-35
Author(s):  
Mark Blakeman
Keyword(s):  
National Health Service ◽  
Public Sector ◽  
Health Service ◽  
National Health ◽  
Sales Manager ◽  
Pension Scheme ◽  
Pension Reforms ◽  
The Public ◽  
Look Ahead

Dentists working in the NHS will be well aware that there are a number of changes taking place in the public sector pension scheme. Mark Blakeman, National Sales Manager at Wesleyan Medical Sickness, looks at how changes to the National Health Service (NHS) pension scheme are affecting the profession and provides an update and look ahead to what happens next.

scholarly journals Decentralization in the Public Sector

2003 ◽  
Vol 57 (2) ◽  
pp. 354-380 ◽  
Author(s):  
James Arrowsmith ◽  
Keith Sisson
Keyword(s):  
National Health Service ◽  
Public Sector ◽  
Health Service ◽  
International Development ◽  
National Health ◽  
Working Time ◽  
Environmental Constraints ◽  
Paradigm Case ◽  
The Public

Summary Decentralization has been an important international development in large organizations, including those in the public sector, in recent years. The introduction of self-governing trusts in the U.K. National Health Service in the early 1990s serves as a paradigm case of public sector decentralization, managerialism and marketization. Local managers were able to develop their own employment arrangements in order to improve the recruitment, retention and deployment of labour. This article finds that pay initiatives were subverted by environmental constraints but change proceeded in the organization of working time. The findings have implications beyond the U.K. and health service context, notably the conceptual relevance of the “firm-in-sector” framework and the policy limits and potential of decentralization.

A Comparative Study of Admissions to Two Public Sector Regional Secure Units and One Independent Medium-Secure Psychiatric Hospital

2000 ◽  
Vol 40 (3) ◽  
pp. 216-222 ◽  
Author(s):  
Katrina R Moss
Keyword(s):  
National Health Service ◽  
Public Sector ◽  
Health Service ◽  
Psychiatric Hospital ◽  
National Health ◽  
Criminal History ◽  
Chi Square ◽  
The Public ◽  
Independent Sector ◽  
Secure Psychiatric Care

To date there has been no research carried out in respect of the contribution being made by the independent sector to medium-secure psychiatric care. There are also no published studies comparing the provision of the independent sector with that of the public sector. As such this is a neglected field of study. This paper examines the characteristics of patients admitted to one independent medium-secure psychiatric hospital and two regional secure units in terms of their demographic characteristics, source, detention under the Mental Health Act, 1983, psychiatric diagnosis, criminal history and discharge. The results of the study are tested for their significance using the chi-square distribution. There is discussion of how the independent sector may be providing a service either unavailable within the National Health Service or for which the National Health Service is unsuitable in terms of patients either requiring medium- to long-term hospital care in conditions of security or those who cannot live independently and therefore require ‘asylum’, which is no longer an option within the National Health Service. In this sense, the independent sector could be seen as meeting a national need by acting as a ‘safety valve’ for National Health Service facilities.

Accountability for Rationing — Theory into Practice

2005 ◽  
Vol 33 (4) ◽  
pp. 660-668 ◽  
Author(s):  
Christopher Newdick
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Care Systems ◽  
The Public ◽  
Modern Health Care ◽  
Concept Of Health ◽  
Care Systems ◽  
Health Need

Most now recognize the inevitability of rationing in modern health care systems. The elastic nature of the concept of “health need,” our natural human sympathy for those in distress, the increased range of conditions for which treatment is available, the “greying” of the population; all expand demand for care in ways that exceed the supply of resources to provide it. UK governments, however, have found this truth difficult to present and have not encouraged open and candid public debate about choices in health care. Indeed, successive governments have presented the opposite view, that “if you are ill or injured there will be a national health service there to help; and access to it will be based on need and need alone.” And they have been rightly criticized for misleading the public and then blaming clinical and managerial staffin the National Health Service (NHS) when expectations have been disappointed.

scholarly journals Guardians of public interest: the expectation and experience of non-executive directors in National Health Service commissioning boards in England

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Joy Tweed ◽  
Louise M. Wallace
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Public Interest ◽  
Open Systems ◽  
Executive Directors ◽  
Goal Model ◽  
Content Type ◽  
The Public ◽  
Systems Model

PurposeThe purpose of the study is to examine how Non-Executive Directors (NEDs) in the English National Health Service (NHS) commissioning bodies experienced their role and contribution to governance.Design/methodology/approachSemi-structured interviews were conducted with a purposive sample of 31 NEDs of Primary Care Trusts (PCTs) and 8 Clinical Commissioning Group (CCG) NEDs. Framework analysis was applied using a conceptualisation of governance developed by Newman, which has four models of governance: the hierarchy, self-governance, open systems and rational goal model.FindingsNEDs saw themselves as guardians of the public interest. NEDs’ power is a product of the explicit levers set out in the constitution of the board, but also how they choose to use their knowledge and expertise to influence decisions for, as they see it, the public good. They contribute to governance by holding to account executive and professional colleagues, acting largely within the rational goal model. CCG NEDs felt less powerful than in those in PCTs, operating largely in conformance and representational roles, even though government policy appears to be moving towards a more networked, open systems model.Originality/valueThis is the first in-depth study of NEDs in English NHS local commissioning bodies. It is of value in helping to inform how the NED role could be enhanced to make a wider contribution to healthcare leadership as new systems are established in the UK and beyond.

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