Racism, the National Health Service, and the Health of Black People

1988 ◽  
Vol 18 (3) ◽  
pp. 457-470 ◽  
Author(s):  
Louis Kushnick
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Internal Control ◽  
Black People ◽  
Mental Health Problems ◽  
Health Problems ◽  
Physical And Mental Health ◽  
Internal Control System ◽  
The One

Racism has been and is central to an understanding of the health of black people in Britain. Black people have played and are playing a central role in the National Health Service (NHS). Their role is, however, shaped by racism. Their experiences as consumers of the NHS are also shaped by racism—in terms of their treatment for both physical and mental health problems. In addition, their specific health problems such as sickle cell anemia have not received the attention they deserve. The NHS has become part of the internal control system of the British racist immigration system. The cuts in the NHS, and in other areas of the welfare state, since 1979 have created the conditions for increasing racial conflict on the one hand and for interracial class-based resistance on the other.

scholarly journals Homebirthing in the United Kingdom during COVID-19

2020 ◽  
Vol 20 (3) ◽  
pp. 183-200
Author(s):  
Elizabeth Chloe Romanis ◽  
Anna Nelson
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
United Kingdom ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Place Of Birth ◽  
Physical And Mental Health ◽  
The United Kingdom ◽  
Failure To Protect

COVID-19 has significantly impacted all aspects of maternity services in the United Kingdom, exacerbating the fact that choice is insufficiently centred within the maternity regime. In this article, we focus on the restrictions placed on homebirthing services by some National Health Service Trusts in response to the virus. In March 2020, around a third of Trusts implemented blanket policies suspending their entire homebirth service. We argue that the failure to protect choice about place of birth during the pandemic may not only be harmful to birthing people’s physical and mental health, but also that it is legally problematic as it may, in some instances, breach human rights obligations. We also voice concerns about the possibility that in the absence of available homebirthing services people might choose to freebirth. While freebirthing (birthing absent any medical or midwifery support) is not innately problematic, it is concerning that people may feel forced to opt for this.

The Relationship of the Child Welfare Officer and the School Medical Officer To the National Health Service

1951 ◽  
Vol 71 (4) ◽  
pp. 357-361 ◽  
Author(s):  
A.V. Neale
Keyword(s):  
Child Welfare ◽  
National Health Service ◽  
Child Health ◽  
Health Service ◽  
National Health ◽  
Medical Officer ◽  
Infant Welfare ◽  
Infancy And Childhood ◽  
The One ◽  
Relationship Of

Broad divisions of preventive and curative medicine can arbitrarily exist, but there should be a wide overlap and increasing effort should be made to bring all our medical forces together in a comprehensive attack upon any factors contrary to mental and physical welfare and health in infancy and childhood. Officers in the maternity and child welfare, and school medical services, will neces sarily need to have a closer and increasing liaison with other forms of preventive and clinical practice. The identity of these officers can be retained (and must be so for some years), but the overall value in the national health service will depend on a wider fusion with consultants, especially obstetricians and pædiatricians, on the one hand, and on the other (especially in health centres) with general practitioners, and particu larly with those comprising the personnel of group general practice. Most especially in the field of child health, preventive and curative activity can proceed hand-in-hand and in fact must do so to maintain fruitful results. Pædiatricians, infant welfare officers, and school medical officers have wide overlaps in their interests and duties ; to some extent a mutual interchange of work in children's hospitals and in welfare departments already exists in several large centres. Clinical area pædia tricians should organize, with the local preventive medicine authorities, arrangements for a comprehensive child health programme in the area and so act as joint influences in promoting the very best co-operative work, and particularly in its educational preventive aspects.

scholarly journals Impact of workplace discrimination and harassment among National Health Service staff working in London trusts: results from the TIDES study

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Rebecca D. Rhead ◽  
Zoe Chui ◽  
Ioannis Bakolis ◽  
Billy Gazard ◽  
Hannah Harwood ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
National Health Service ◽  
Health Service ◽  
Sickness Absence ◽  
National Health ◽  
Turnover Rates ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Service Staff ◽  
The Impact

Background Harassment and discrimination in the National Health Service (NHS) has steadily increased over the past 5 years with London being the worst performing region. There is a lack of data and research on the impact this is having on staff health and job satisfaction. Such data are necessary to inform the development of effective workplace interventions to mitigate the effects these experiences have on staff. Aims Examine the impact of harassment and discrimination on NHS staff working in London trusts, utilising data from the 2019 TIDES cross-sectional survey. Method In total, 931 London-based healthcare practitioners participated in the TIDES survey. Regression analysis was used to examine associations between the sociodemographic characteristics of participants, exposure to discrimination and harassment, and how such exposures are associated with physical and mental health, job satisfaction and sickness absence. Results Women, Black ethnic minority staff, migrants, nurses and healthcare assistants were most at risk of discrimination and/or harassment. Experiencing either of the main exposures was associated with probable anxiety or depression. Experiencing harassment was also associated with moderate-to-severe somatic symptoms. Finally, both witnessing and experiencing the main exposures were associated with low job satisfaction and long periods of sickness absence. Conclusions NHS staff, particularly those working in London trusts, are exposed to unprecedented levels of discrimination and harassment from their colleagues. Within the context of an already stretched and under-resourced NHS, in order to combat poor job satisfaction and high turnover rates, the value of all healthcare practitioners must be visibly and continuously reinforced by all management and senior leaders.

Clinical commissioning group criteria for rhinoplasty and septorhinoplasty in England: survey of current guidance

2018 ◽  
Vol 132 (7) ◽  
pp. 591-595 ◽  
Author(s):  
E E Ross ◽  
S Anari
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Nasal Obstruction ◽  
National Health ◽  
Functional Impairment ◽  
Health Problems ◽  
Clinical Value ◽  
Eligibility Criteria ◽  
Nasal Blockage ◽  
Current Guidance

AbstractObjectiveProcedures of limited clinical value require pre-authorisation in the National Health Service, of which rhinoplasty and septorhinoplasty are two such operations. This study surveyed clinical commissioning groups within England to document the variable eligibility criteria for rhinoplasty and septorhinoplasty.MethodsIn February 2016, a letter was sent to 209 clinical commissioning groups requesting their rhinoplasty and septorhinoplasty commissioning criteria.ResultsA total of 200 clinical commissioning groups responded. Although 89.5 per cent allow septorhinoplasty in the presence of nasal obstruction, further criteria, such as documented health problems resulting from nasal blockage, severe functional impairment or a specific percentage of blockage, must be shown for septorhinoplasty to be authorised by most of the clinical commissioning groups.ConclusionThere is great variation within individual clinical commissioning groups in England regarding the criteria for septorhinoplasty and rhinoplasty. Some criteria seem not to be clinically relevant and difficult to demonstrate. It is recommended that the guidelines are reviewed and harmonised nationally in future revisions.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1954 ◽  
Vol 13 (6) ◽  
pp. 576-587
Author(s):  
CHARLES B. GRIEVE ◽  
JAMES M. GILL
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Medical Practitioner ◽  
Executive Council ◽  
Cost Of Living ◽  
Vice Chairman ◽  
Accurate Picture ◽  
Medical Fees ◽  
The One

THE FIRST communication in this issue is by two general practitioners who have written their views of the British National Health Service as a companion article to the one by Professor John Craig which appeared last month. Dr. Charles B. Grieve, a medical practitioner in Aberdeen, is present Chairman of the Local Medical Committee of Aberdeen and also Vice-Chairman of the Executive Council of Aberdeen. Dr. James M. Gill is a country practitioner in Inverurie, a town in the county of Aberdeenshire; he is Vice-Chairman of the Executive Council of the Counties of Aberdeen and Kincardine. Dr. Craig writes that: "They are both liberal-minded men who have thought a lot about the service and have been taking an active part in its planning." The second communication is a description of private practice in Britain by Dr. Philip Evans, Professor of the Department of Child Health at Guy's Hospital, London. Dr. Evans has translated British medical fees into American dollars but, as noted last month, there is such a difference in the cost of living between the two countries that 2.8 dollars to the pound does not give an accurate picture. On a cost of living basis, the exchange rate is probably nearer 4 than 2.8 dollars to the pound. THERE must be few doctors with experience of general practice among the poor, the working and lower middle classes in the years before the introduction of the National Health Service who would not agree that the medical care of this group was grossly inadequate.

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.

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.

scholarly journals Clinical Guidelines in Mental Health I: the National Collaborating Centre for Mental Health

2004 ◽  
Vol 28 (5) ◽  
pp. 156-159 ◽  
Author(s):  
Tim Kendall ◽  
Steve Pilling ◽  
Catherine Pettinari ◽  
Craig Whittington
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Clinical Guidelines ◽  
Clinical Guideline ◽  
Mental Health Problems ◽  
Clinical Excellence ◽  
Severe Form

The first national clinical guideline for the National Health Service (NHS) was produced by the National Collaborating Centre for Mental Health (NCCMH) for the National Institute for Clinical Excellence (NICE) and launched in December 2002. That the first guideline to emerge was a guideline in mental health was important. Furthermore, that the guideline was about the treatment of the most severe form of mental illness, schizophrenia, has drawn a great deal of attention to the plight of people with mental health problems, both within NICE, its Citizens Council and Partners Council, and in the medical press (Battacharya & Gough, 2002; Mayor, 2002; Hargreaves, 2003).

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