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The New NHS : A Guide - Alison Talbot-Smith

Paperback Published: 13th April 2006
ISBN: 9780415328418
Number Of Pages: 206

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Dr Alison Talbot-Smith, an experienced doctor and researcher, and Professor Allyson M. Pollock, one of the UKs leading authorities on the NHS, give a lucid and incisive account of the new NHS - which has emerged from a far-reaching programme of market-oriented changes.

Providing an authoritative and accessible overview of the new NHS, the book describes:

  • the structures and functions of the new organizations in each of the devolved countries

  • the funding of NHS services, education, training and research and resource allocation

  • the regulation of the new NHS systems and workforce

  • the relationships between the NHS, the Department of Health, local authorities and regulatory bodies, and between the NHS and the private sector

  • the future implications of current policies.

This is an indispensable resource for those working in healthcare today as clinicians, academics, researchers and managers. It will also be essential reading for academics, students, and researchers in related fields, as well as the general public.

Industry Reviews

'The British National Health Service is undergoing unprecedented change. Disconnected policies are being developed at breakneck speed...Alison Talbot-Smith and Allyson Pollock are to be congratulated for bringing some clarity into this otherwise extremely confusing situation.' - Martin McKee, London School of Hygiene and Tropical Medicine

'Talbot-Smith and Pollock do an admirable job in view of the difficulty of keeping up to date in such a volatile policy environment.' - bmj.com

'This guide is easy to read and objective. One of the authors, Allyson Pollock, is well known for her recent publication NHS pls - looking at the social, economic and political effects of changes in healthcare policy. This book approaches the issues in the NHS from a different tack.' - Nursing Standard

Another blockbuster from Allyson Pollock - Paul Walker, Healthmatters

Having worked in the NHS from 1965 to 1993 I felt that I was fully convesant with its workings - but no longer. Like Martin Mckee (quoted on the jacket) I am confused by its growing complexity and wondering whether anyone - including those at the top really comprehends it but clearly the authors of this book do - and that is why its so valuable. Paul Walker - Healthmatters

List of illustrationsp. vii
Prefacep. ix
Acknowledgementsp. x
List of abbreviationsp. xi
Introductionp. 1
The original NHSp. 2
The transition to a marketp. 5
The emerging market in clinical carep. 7
Organisations with strategic rolesp. 12
The Department of Healthp. 12
Strategic Health Authorities (SHAs)p. 18
'Arm's length' bodies of the Department of Healthp. 20
Organisations commissioning servicesp. 36
Primary Care Trustsp. 36
GP practice-based commissioningp. 43
Care trustsp. 44
Children's trustsp. 46
Organisations providing servicesp. 48
Primary carep. 49
Secondary carep. 60
Public healthp. 71
Funding and resourcesp. 78
The allocation of resources for the NHS in Englandp. 79
The flow of funds: from commissioners to providersp. 95
Financial duties of NHS bodiesp. 100
Banking arrangementsp. 103
Efficiency and standardsp. 104
Contractsp. 108
Strategic health authorities and performance managementp. 108
National targetsp. 109
National standardsp. 110
Accountability: who is responsiblep. 111
Clinical standards and safetyp. 113
Performance 'frameworks' and performance ratingsp. 116
Professional regulationp. 121
Lifelong learningp. 124
Patient and public involvement in healthcarep. 127
Complaints and clinical negligencep. 132
Research and development, and research governancep. 136
Research and development policy in the 1990sp. 136
Research and development policy since 2000p. 139
New strategy for clinical research and developmentp. 145
Conclusionp. 146
The NHS workforcep. 147
Medical staffp. 149
Nursing staffp. 151
Allied health professionalsp. 152
Other staffp. 153
Trade unionsp. 154
Devolution: the NHS in Scotland, Wales and Northern Irelandp. 155
Fundingp. 155
Structuresp. 156
The NHS in Scotlandp. 156
The NHS in Walesp. 164
The NHS in Northern Irelandp. 169
Summaryp. 176
The futurep. 178
Notesp. 182
Indexp. 194
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780415328418
ISBN-10: 0415328411
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 206
Published: 13th April 2006
Country of Publication: GB
Dimensions (cm): 23.5 x 15.88  x 1.91
Weight (kg): 0.35
Edition Number: 1