Ditching the Single-Payer System in the National Health Service: How the English Department of Health is Learning the Wrong Lessons from the United States

2016 ◽  
pp. 60-67
Keyword(s):  
United States ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The United States ◽  
English Department ◽  
Department Of Health ◽  
Single Payer

Loudness intensity and tinnitus frequency

1984 ◽  
Vol 98 (S9) ◽  
pp. 67-68
Author(s):  
E. Douek
Keyword(s):  
United States ◽  
United Kingdom ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The United States ◽  
Point Of View ◽  
The United Kingdom ◽  
Lump Sum

What I have to say follows on very naturally from what Dr. Johnson has just said. I ought to explain that in the United Kingdom we work in somewhat different situations from yours in the United States, from the administrative point of view, but most particularly from the financial funding point of view. Under the National Health Service we are not paid per item of service; we get a lump sum on which we have to run our departments. If we see two patients or if we see a million patients it makes no difference. In many ways, if we see few patients we can give them a better service than if we see many. I realise that this is a concept which is perhaps new to those of you in the United States, that your income in fact comes from numbers of patients.

scholarly journals Specialist personality disorder services in England: a case for managed clinical networks?

2005 ◽  
Vol 29 (10) ◽  
pp. 365-368 ◽  
Author(s):  
Kingsley Norton ◽  
Julian Lousada ◽  
Kevin Healy
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Personality Disorder ◽  
Health Service ◽  
Personality Disorders ◽  
National Health ◽  
Clinical Networks ◽  
Department Of Health ◽  
Specialist Services

Following the publication by the National Institute for Mental Health in England (NIMHE) of Personality Disorder: No Longer A Diagnosis of Exclusion (National Institute for Mental Health in England, 2003), it is perhaps surprising that so soon after there have been threats to the survival of some of the small number of existing specialist personality disorder services to which it refers. Indeed, one of the few in-patient units specialising in such disorders (Webb House in Crewe) closed in July 2004. Such closures or threats argue for closer collaboration in planning between the relevant secondary and tertiary services and also between the Department of Health, the NIMHE and local National Health Service commissioners. Not safeguarding existing tertiary specialist services, at a time of increasing awareness of the needs of patients with personality disorders, may be short-sighted.

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