Building a World-Class Nhs

By: I. Smith

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Hardcover | 6 November 2007 | Edition Number 1

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Hardcover
232 Pages

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24.0 x 16.3 x 2.0

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The author of this book believes passionately in the National Health Service and through his work offers the government recommendations for how its reform process can be saved from failure. The NHS will only survive and be true to its founding principles if the reform programme is driven forward - and if the book's recommendations are implemented.

Industry Reviews

"This is a powerful challenge to the conventional wisdom about choice and competition as dangers to the NHS. It makes a strong case that patient choice and competition are essential both for improving services now and for creating incentives to use innovation in the future. It should be essential reading for managers and health professionals who want to understand the real choices facing the NHS." Nick Bosanquet, Professor of Health Policy, Imperial College.

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The case for change	p. 39
Key points	p. 39
Much has been achieved by the Labour government since 1997	p. 39
But much of the extra spending has been wasted ...	p. 42
And the UK still compares poorly with other developed nations	p. 47
Recommendations from the Bristol enquiry have still not been implemented	p. 64
Customer/patient views	p. 81
What is wrong with the NHS?	p. 87
Key points	p. 87
The NHS is a centralized bureaucracy that, without fundamental reform, will continue to fail	p. 91
The real problem is the same as in all vast bureaucracies	p. 95
Payment by results is a move in the right direction	p. 96
A dysfunctional organization with chronically poor management	p. 106
A vision for the NHS	p. 114
Key points	p. 114
Refinements to the current policy agenda	p. 114
Introduction to Michael Porter's work	p. 116
How it would work in the UK, and how providers would compete	p. 125
Health plans and commissioning	p. 127
Breaking the dysfunctional dynamics	p. 132
Key points	p. 132
The system needs to be de-bureaucratized, decentralized and depoliticized	p. 133
Demand-side mechanisms need to be introduced and extended - patient choice	p. 139
Demand-side mechanisms need to be introduced and extended - commissioning	p. 144
Demand-side mechanisms need to be introduced and extended - primary care	p. 150
Major issues identified by Leicester consumer/citizen group	p. 152
Competition needs to be introduced	p. 162
Civil Service involvement	p. 174
Creating sustainability and building international competitiveness	p. 178
Key points	p. 178
Creating sustainable market mechanisms in UK healthcare	p. 179
The NHS's role in the decline of the UK as a world leader in healthcare and biomedical science	p. 180
Diamonds and clusters	p. 182
A conceptual model for putting it right	p. 189
Health and wealth	p. 193
Constraints to growth for UK-based companies	p. 195
Global medical excellence clusters	p. 200
Table of Contents provided by Blackwell. All Rights Reserved.

Building a World-Class Nhs

At a Glance

Hardcover

Industry Reviews

Shipping

How to return your order

Defective items

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