John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.001.0001
- Subject:
- Political Science, Political Theory
This book attempts to solve two problems in deliberative democratic theory and practice: How can agreements reached inside deliberative forums be legitimate for those who did not take part? And why ...
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This book attempts to solve two problems in deliberative democratic theory and practice: How can agreements reached inside deliberative forums be legitimate for those who did not take part? And why should people with strongly-held views participate in the first place? The solution involves rethinking deliberative theory, but also draws on lessons from practical experience with deliberative forums in Britain’s National Health Service. The book discusses the competing representation claims that different participants make, the pros and cons of different approaches to democratic accountability, and different conceptions of rationality and public reasoning. It concludes by rejecting the idea that we can have authentic, legitimate deliberation in any one forum. Instead, authentic, legitimate deliberation can only result from linkages between different kinds of institutions, drawing on different kinds of participants, at different points of a decision-making cycle. That is, it promotes a macro, society-wide view of deliberative democracy quite different from the micro, deliberative-forum view which dominates thinking on the subject in the UK. The book sketches the outline of such a deliberative system, suggesting how various institutions in civil society and elected government might link together to create public decisions, which are both more rational and more democratic.Less
This book attempts to solve two problems in deliberative democratic theory and practice: How can agreements reached inside deliberative forums be legitimate for those who did not take part? And why should people with strongly-held views participate in the first place? The solution involves rethinking deliberative theory, but also draws on lessons from practical experience with deliberative forums in Britain’s National Health Service. The book discusses the competing representation claims that different participants make, the pros and cons of different approaches to democratic accountability, and different conceptions of rationality and public reasoning. It concludes by rejecting the idea that we can have authentic, legitimate deliberation in any one forum. Instead, authentic, legitimate deliberation can only result from linkages between different kinds of institutions, drawing on different kinds of participants, at different points of a decision-making cycle. That is, it promotes a macro, society-wide view of deliberative democracy quite different from the micro, deliberative-forum view which dominates thinking on the subject in the UK. The book sketches the outline of such a deliberative system, suggesting how various institutions in civil society and elected government might link together to create public decisions, which are both more rational and more democratic.
Daniel Béland and André Lecours
- Published in print:
- 2008
- Published Online:
- September 2008
- ISBN:
- 9780199546848
- eISBN:
- 9780191720468
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199546848.003.0004
- Subject:
- Political Science, Comparative Politics, Political Theory
Chapter 3 looks at Scotland in the United Kingdom to explore the relationship between nationalism and social policy. It explains how the relationship between British nation-building and social policy ...
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Chapter 3 looks at Scotland in the United Kingdom to explore the relationship between nationalism and social policy. It explains how the relationship between British nation-building and social policy emerged during the post-war era and outlines the particular importance of this process in Scotland, which depended more upon social benefits than did the South of England. It then explores the mobilization process favouring devolution for Scotland in the context of social policy retrenchment, and shows how these two issues meshed during Thatcherism. Finally, it analyses the impact of devolution on social policy development in Scotland and in the United Kingdom at large. Although it is too early to draw definite conclusions about the nature and extent of this impact, it is clear that the institutional and political transformations involved in devolution have affected policy processes and outcomes.Less
Chapter 3 looks at Scotland in the United Kingdom to explore the relationship between nationalism and social policy. It explains how the relationship between British nation-building and social policy emerged during the post-war era and outlines the particular importance of this process in Scotland, which depended more upon social benefits than did the South of England. It then explores the mobilization process favouring devolution for Scotland in the context of social policy retrenchment, and shows how these two issues meshed during Thatcherism. Finally, it analyses the impact of devolution on social policy development in Scotland and in the United Kingdom at large. Although it is too early to draw definite conclusions about the nature and extent of this impact, it is clear that the institutional and political transformations involved in devolution have affected policy processes and outcomes.
Irvine Loudon, John Horder, and Charles Webster (eds)
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206750
- eISBN:
- 9780191677304
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206750.001.0001
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This book provides a history of general practice under the National Health Service, from 1948 to the present. Between them, the chapters cover all the main aspects of general practice, including ...
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This book provides a history of general practice under the National Health Service, from 1948 to the present. Between them, the chapters cover all the main aspects of general practice, including changing concepts of illness and clinical practices, politics and organization, medical education, public relations, and international comparisons. These chapters examine how the relative stagnation of the early years, when morale and funding were low, gave way to a renaissance in general practice in the 1960s which changed the service out of all recognition. This book shows how the oldest branch of medicine gradually rediscovered its role alongside the rapid advances of specialized medicine.Less
This book provides a history of general practice under the National Health Service, from 1948 to the present. Between them, the chapters cover all the main aspects of general practice, including changing concepts of illness and clinical practices, politics and organization, medical education, public relations, and international comparisons. These chapters examine how the relative stagnation of the early years, when morale and funding were low, gave way to a renaissance in general practice in the 1960s which changed the service out of all recognition. This book shows how the oldest branch of medicine gradually rediscovered its role alongside the rapid advances of specialized medicine.
John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.003.0001
- Subject:
- Political Science, Political Theory
This chapter outlines the theory of deliberative democracy and deliberative institutions, highlighting the legitimacy problems — to do with the scale of the deliberations and the motivation to ...
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This chapter outlines the theory of deliberative democracy and deliberative institutions, highlighting the legitimacy problems — to do with the scale of the deliberations and the motivation to participate — as experienced by the organizers of a citizens’ jury in Leicester, England, in 2000. It explains the approach and methods, outlines the argument, and summarizes five cases of deliberation in the UK’s National Health Service.Less
This chapter outlines the theory of deliberative democracy and deliberative institutions, highlighting the legitimacy problems — to do with the scale of the deliberations and the motivation to participate — as experienced by the organizers of a citizens’ jury in Leicester, England, in 2000. It explains the approach and methods, outlines the argument, and summarizes five cases of deliberation in the UK’s National Health Service.
John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.003.0003
- Subject:
- Political Science, Political Theory
This chapter explores the context of the cases, setting out the history of patient involvement initiatives and deliberative experiments in the UK. It highlights the antipathy to interest groups and ...
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This chapter explores the context of the cases, setting out the history of patient involvement initiatives and deliberative experiments in the UK. It highlights the antipathy to interest groups and the ‘research orientation’ of those experiments, and the effects that orientation has had on limiting the scope and agenda of deliberation. It argues that whether deliberation occurs at the local level or at the centre matters a great deal, but that deliberative experiments tend to be at least as much about resource battles between the centre and the periphery as responding to citizens’ needs.Less
This chapter explores the context of the cases, setting out the history of patient involvement initiatives and deliberative experiments in the UK. It highlights the antipathy to interest groups and the ‘research orientation’ of those experiments, and the effects that orientation has had on limiting the scope and agenda of deliberation. It argues that whether deliberation occurs at the local level or at the centre matters a great deal, but that deliberative experiments tend to be at least as much about resource battles between the centre and the periphery as responding to citizens’ needs.
F. K. PROCHASKA
- Published in print:
- 1992
- Published Online:
- October 2011
- ISBN:
- 9780198202660
- eISBN:
- 9780191675478
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198202660.003.0009
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
The 1980s witnessed a new-model Conservative Party taking its revenge on the public sector, which equated with bureaucratic waste and national decline. ...
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The 1980s witnessed a new-model Conservative Party taking its revenge on the public sector, which equated with bureaucratic waste and national decline. This chapter discusses charities and voluntarism taken more seriously by politicians in the 1980s. The trends of greater government power and expanding democratic rights accompanied by a proliferation of voluntary bodies and transformation in philanthropic attitudes are discussed. The growing dependence of the Welfare State on charity rose, an example of which is the Health Service in the 1980s. Voluntary support was rising sharply in the National Health Service.Less
The 1980s witnessed a new-model Conservative Party taking its revenge on the public sector, which equated with bureaucratic waste and national decline. This chapter discusses charities and voluntarism taken more seriously by politicians in the 1980s. The trends of greater government power and expanding democratic rights accompanied by a proliferation of voluntary bodies and transformation in philanthropic attitudes are discussed. The growing dependence of the Welfare State on charity rose, an example of which is the Health Service in the 1980s. Voluntary support was rising sharply in the National Health Service.
Charles Webster
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206750
- eISBN:
- 9780191677304
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206750.003.0002
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter discusses the different interventions of the central government in connection with general medical practice and primary health care since the National Health Service began in the late ...
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This chapter discusses the different interventions of the central government in connection with general medical practice and primary health care since the National Health Service began in the late 1940s. A few preliminary observations are offered regarding the longer-term perspective of the dramatic changes that took place in the National Health Service since 1991, and a discussion of the shortcomings of the 1948 system is provided.Less
This chapter discusses the different interventions of the central government in connection with general medical practice and primary health care since the National Health Service began in the late 1940s. A few preliminary observations are offered regarding the longer-term perspective of the dramatic changes that took place in the National Health Service since 1991, and a discussion of the shortcomings of the 1948 system is provided.
F. K. PROCHASKA
- Published in print:
- 1992
- Published Online:
- October 2011
- ISBN:
- 9780198202660
- eISBN:
- 9780191675478
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198202660.003.0007
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
The creation of the National Health Service pushed voluntarists to the periphery of the debate on health. The nationalization of the majority of ...
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The creation of the National Health Service pushed voluntarists to the periphery of the debate on health. The nationalization of the majority of voluntary hospitals by the State killed off a number of their associated societies. Philanthropists took the idea of partnership down from its shelf, brushed off its unhappy associations with local government and looked forward to a more positive relationship with the central state. This chapter also discusses the National League of Hospital Friends set up to improve the conditions for patients. Despite the ritual nod from selected committees and politicians towards the idea of partnership, civil servants gave little support to voluntarists in and around hospitals and tended to dismiss the Leagues of Friends. The coming of the NHS and the uncertainties in its early development created divisions of opinion in the Fund.Less
The creation of the National Health Service pushed voluntarists to the periphery of the debate on health. The nationalization of the majority of voluntary hospitals by the State killed off a number of their associated societies. Philanthropists took the idea of partnership down from its shelf, brushed off its unhappy associations with local government and looked forward to a more positive relationship with the central state. This chapter also discusses the National League of Hospital Friends set up to improve the conditions for patients. Despite the ritual nod from selected committees and politicians towards the idea of partnership, civil servants gave little support to voluntarists in and around hospitals and tended to dismiss the Leagues of Friends. The coming of the NHS and the uncertainties in its early development created divisions of opinion in the Fund.
F. K. PROCHASKA
- Published in print:
- 1992
- Published Online:
- October 2011
- ISBN:
- 9780198202660
- eISBN:
- 9780191675478
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198202660.003.0008
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter discusses the state-directed health and social services in Britain in the years 1960 to 1980.The issue of independence of the charities in ...
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This chapter discusses the state-directed health and social services in Britain in the years 1960 to 1980.The issue of independence of the charities in health and welfare is brought into question as they received money from government sources and settled into a decent anonymity. The disparity in the scale of their respective operations made an effective partnership between the National Health Service and charities difficult. In the hive of charitable activity the King's Fund had committed itself to the NHS in the 1950s and its links with the service matured in the following decade. The decline in the NHS idealism, the Fund's views on NHS reorganization that were influenced by the disruption of the Emergency Bed Service, and its effects on voluntary societies is also explained.Less
This chapter discusses the state-directed health and social services in Britain in the years 1960 to 1980.The issue of independence of the charities in health and welfare is brought into question as they received money from government sources and settled into a decent anonymity. The disparity in the scale of their respective operations made an effective partnership between the National Health Service and charities difficult. In the hive of charitable activity the King's Fund had committed itself to the NHS in the 1950s and its links with the service matured in the following decade. The decline in the NHS idealism, the Fund's views on NHS reorganization that were influenced by the disruption of the Emergency Bed Service, and its effects on voluntary societies is also explained.
John Parkinson
- Published in print:
- 2006
- Published Online:
- September 2006
- ISBN:
- 9780199291113
- eISBN:
- 9780191604133
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/019929111X.003.0006
- Subject:
- Political Science, Political Theory
This chapter argues that the definition of rationality is a major source of disagreement over the legitimacy of decision making processes. It draws attention to battles over competing problem ...
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This chapter argues that the definition of rationality is a major source of disagreement over the legitimacy of decision making processes. It draws attention to battles over competing problem definitions and agendas as a means of controlling debate, and the failure of micro-deliberative processes to handle such battles. It identifies the rhetorical devices used by deliberators to persuade their external audiences, and the impact these have on the rationality of the process. It argues that the more decisive a process is, the more it will attract publicity and the more inclusive it will be, but also the greater the incentives are to act strategically.Less
This chapter argues that the definition of rationality is a major source of disagreement over the legitimacy of decision making processes. It draws attention to battles over competing problem definitions and agendas as a means of controlling debate, and the failure of micro-deliberative processes to handle such battles. It identifies the rhetorical devices used by deliberators to persuade their external audiences, and the impact these have on the rationality of the process. It argues that the more decisive a process is, the more it will attract publicity and the more inclusive it will be, but also the greater the incentives are to act strategically.
F. K. Prochaska
- Published in print:
- 1992
- Published Online:
- October 2011
- ISBN:
- 9780198202660
- eISBN:
- 9780191675478
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198202660.001.0001
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
British hospitals and their administration have changed dramatically since the 19th century, when the provision of medical care depended very heavily upon ...
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British hospitals and their administration have changed dramatically since the 19th century, when the provision of medical care depended very heavily upon philanthropic bodies. The King's Fund was the leading charitable institution for the defence and development of London's voluntary hospitals before the creation of the National Health Service. Since 1948, it has worked alongside the NHS and has sought to promote good practice and innovation in health care through grants, training, and a range of other services. This book places the King's Fund in the wider context of the history of philanthropy and social provision. It provides an illuminating analysis of the evolution of the relationship between the voluntary and public sectors in the 20th century and points to the continuing importance of voluntary organizations to the nation's health and welfare.Less
British hospitals and their administration have changed dramatically since the 19th century, when the provision of medical care depended very heavily upon philanthropic bodies. The King's Fund was the leading charitable institution for the defence and development of London's voluntary hospitals before the creation of the National Health Service. Since 1948, it has worked alongside the NHS and has sought to promote good practice and innovation in health care through grants, training, and a range of other services. This book places the King's Fund in the wider context of the history of philanthropy and social provision. It provides an illuminating analysis of the evolution of the relationship between the voluntary and public sectors in the 20th century and points to the continuing importance of voluntary organizations to the nation's health and welfare.
Anne Digby
- Published in print:
- 1999
- Published Online:
- October 2011
- ISBN:
- 9780198205135
- eISBN:
- 9780191676512
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198205135.003.0013
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter discusses the historical role that GPs played in shaping the National Health Service (NHS), and with the reception of the NHS by doctors and their patients. The creation of the NHS led ...
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This chapter discusses the historical role that GPs played in shaping the National Health Service (NHS), and with the reception of the NHS by doctors and their patients. The creation of the NHS led to substantive changes in the hospital sector and in specialist health services. But within general practice the major change was the extension of free-at-the-point-of-access health care to the whole population: to women and children as well as men, to the middle class as well as the working class. The standard of care and social ethos of the new health service was essentially a continuation of the old panel system.Less
This chapter discusses the historical role that GPs played in shaping the National Health Service (NHS), and with the reception of the NHS by doctors and their patients. The creation of the NHS led to substantive changes in the hospital sector and in specialist health services. But within general practice the major change was the extension of free-at-the-point-of-access health care to the whole population: to women and children as well as men, to the middle class as well as the working class. The standard of care and social ethos of the new health service was essentially a continuation of the old panel system.
Michael Drury
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206750
- eISBN:
- 9780191677304
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206750.003.0010
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter discusses the professional organizations that represented general practitioners and how all of these organizations were opposed to the National Health Service Bill when it was introduced ...
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This chapter discusses the professional organizations that represented general practitioners and how all of these organizations were opposed to the National Health Service Bill when it was introduced in March 1946. Some of the organizations that are discussed in this chapter are the General Medical Council and the Royal College of General Practitioners.Less
This chapter discusses the professional organizations that represented general practitioners and how all of these organizations were opposed to the National Health Service Bill when it was introduced in March 1946. Some of the organizations that are discussed in this chapter are the General Medical Council and the Royal College of General Practitioners.
Neil Small
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198515814
- eISBN:
- 9780191730498
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198515814.003.0002
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter discusses what has changed and what has remained the same in the National Health Service (NHS). It enumerates the crucial developments that have occurred in the NHS since 1997 and ...
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This chapter discusses what has changed and what has remained the same in the National Health Service (NHS). It enumerates the crucial developments that have occurred in the NHS since 1997 and highlights key features of the development of consumerist rhetoric. The chapter also considers how changing times and policy initiatives impact on palliative care and how user involvement developed here. It concludes with a consideration of whether the new NHS constitutes an opportunity or a threat for the capacity of palliative care to maximize its achievements and overcome its challenges.Less
This chapter discusses what has changed and what has remained the same in the National Health Service (NHS). It enumerates the crucial developments that have occurred in the NHS since 1997 and highlights key features of the development of consumerist rhetoric. The chapter also considers how changing times and policy initiatives impact on palliative care and how user involvement developed here. It concludes with a consideration of whether the new NHS constitutes an opportunity or a threat for the capacity of palliative care to maximize its achievements and overcome its challenges.
Peter Littlejohns and Augustine J Pereira
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780199558612
- eISBN:
- 9780191595011
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199558612.003.0010
- Subject:
- Public Health and Epidemiology, Public Health
This chapter discusses the NICE and NSFs. NICE was established in April 1999 to increase efficiency in the National Health Service's (NHS) uptake of interventions that are both clinically and ...
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This chapter discusses the NICE and NSFs. NICE was established in April 1999 to increase efficiency in the National Health Service's (NHS) uptake of interventions that are both clinically and cost-effective; encourage more equitable access to healthcare; provide better and more rational use of available resources by focussing the provision of health care on the most cost-effective interventions; and encourage the creation of new and innovative technologies. NSFs were established at the same time as NICE as a complementary process to establish national standards and guidelines. NSFs are long-term strategies for improving specific areas of care to help ensure consistent access to services and quality of care right across the UK.Less
This chapter discusses the NICE and NSFs. NICE was established in April 1999 to increase efficiency in the National Health Service's (NHS) uptake of interventions that are both clinically and cost-effective; encourage more equitable access to healthcare; provide better and more rational use of available resources by focussing the provision of health care on the most cost-effective interventions; and encourage the creation of new and innovative technologies. NSFs were established at the same time as NICE as a complementary process to establish national standards and guidelines. NSFs are long-term strategies for improving specific areas of care to help ensure consistent access to services and quality of care right across the UK.
Anne Digby
- Published in print:
- 1999
- Published Online:
- October 2011
- ISBN:
- 9780198205135
- eISBN:
- 9780191676512
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198205135.001.0001
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This is a major new study of the formative period in the development of modern general practice in the UK. Drawing upon an impressive range of hitherto unused archival material, the book analyses the ...
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This is a major new study of the formative period in the development of modern general practice in the UK. Drawing upon an impressive range of hitherto unused archival material, the book analyses the important changes and developments in primary health care in the century before the creation of the National Health Service in 1948.Less
This is a major new study of the formative period in the development of modern general practice in the UK. Drawing upon an impressive range of hitherto unused archival material, the book analyses the important changes and developments in primary health care in the century before the creation of the National Health Service in 1948.
Margot Jefferys
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206750
- eISBN:
- 9780191677304
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206750.003.0006
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
This chapter discusses the changes that occurred during the first 50 years of the National Health Service that slowly transformed the orientation, occupational composition, and the typical size of ...
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This chapter discusses the changes that occurred during the first 50 years of the National Health Service that slowly transformed the orientation, occupational composition, and the typical size of the units that were providing health services outside the hospitals.Less
This chapter discusses the changes that occurred during the first 50 years of the National Health Service that slowly transformed the orientation, occupational composition, and the typical size of the units that were providing health services outside the hospitals.
George R. Boyer
- Published in print:
- 2018
- Published Online:
- May 2019
- ISBN:
- 9780691178738
- eISBN:
- 9780691183992
- Item type:
- chapter
- Publisher:
- Princeton University Press
- DOI:
- 10.23943/princeton/9780691178738.003.0008
- Subject:
- Economics and Finance, Economic History
This chapter explores the story of the 1942 Beveridge Report and the beginnings of the welfare state. The policies proposed by Beveridge and the 1945–48 legislation were logical extensions of ...
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This chapter explores the story of the 1942 Beveridge Report and the beginnings of the welfare state. The policies proposed by Beveridge and the 1945–48 legislation were logical extensions of government's expanding role in social welfare policy beginning with the Liberal Welfare Reforms. This does not mean that the importance of the postwar legislation should be downplayed. Because of the adoption of the National Health Service, universal coverage, and equality of treatment, Britain after 1948 deserves to be called a welfare state, while Edwardian and interwar Britain do not. Unfortunately, despite the enthusiasm with which the public greeted the welfare state, the postwar policies did not eliminate economic insecurity.Less
This chapter explores the story of the 1942 Beveridge Report and the beginnings of the welfare state. The policies proposed by Beveridge and the 1945–48 legislation were logical extensions of government's expanding role in social welfare policy beginning with the Liberal Welfare Reforms. This does not mean that the importance of the postwar legislation should be downplayed. Because of the adoption of the National Health Service, universal coverage, and equality of treatment, Britain after 1948 deserves to be called a welfare state, while Edwardian and interwar Britain do not. Unfortunately, despite the enthusiasm with which the public greeted the welfare state, the postwar policies did not eliminate economic insecurity.
Paul Bate and Glenn Robert
- Published in print:
- 2010
- Published Online:
- September 2010
- ISBN:
- 9780195388299
- eISBN:
- 9780199866519
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195388299.003.0012
- Subject:
- Political Science, American Politics
This chapter translates social movement theory into an organizational change intervention designed to improve patient services. The paper describes how the authors' team from University College ...
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This chapter translates social movement theory into an organizational change intervention designed to improve patient services. The paper describes how the authors' team from University College London came together with the English National Health Service (NHS) staff in a unique five‐year collaboration to apply social movement principles to the challenge of bringing about major healthcare reform. The collaboration went through five stages on its journey from concept to implementation: (1) an initial period of evidence gathering and literature review; (2) a series of conferences and workshops exploring the relevance and application of social movement ideas to healthcare reform; (3) field testing of change interventions within four pilot NHS organizations; (4) the launch of a revised model to a larger group of twelve NHS organizations with an identifiable “cause”; and (5) evaluation with a sample of those who attended events to ascertain what happened as they implemented plans. This chapter critically considers the relevance and utility of social movement theories for health practitioners, a comparison between the social movement lenses and organizational change theories commonly used by health providers, and discussion of practical issues arising during implementation of social movement activity within a large formal organization.Less
This chapter translates social movement theory into an organizational change intervention designed to improve patient services. The paper describes how the authors' team from University College London came together with the English National Health Service (NHS) staff in a unique five‐year collaboration to apply social movement principles to the challenge of bringing about major healthcare reform. The collaboration went through five stages on its journey from concept to implementation: (1) an initial period of evidence gathering and literature review; (2) a series of conferences and workshops exploring the relevance and application of social movement ideas to healthcare reform; (3) field testing of change interventions within four pilot NHS organizations; (4) the launch of a revised model to a larger group of twelve NHS organizations with an identifiable “cause”; and (5) evaluation with a sample of those who attended events to ascertain what happened as they implemented plans. This chapter critically considers the relevance and utility of social movement theories for health practitioners, a comparison between the social movement lenses and organizational change theories commonly used by health providers, and discussion of practical issues arising during implementation of social movement activity within a large formal organization.
David Morrell
- Published in print:
- 1998
- Published Online:
- October 2011
- ISBN:
- 9780198206750
- eISBN:
- 9780191677304
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198206750.003.0001
- Subject:
- History, British and Irish Modern History, History of Science, Technology, and Medicine
The National Health Service was introduced in January 1948 and has been around for no less than 50 years. This chapter discusses the different aspects of the National Health Service, based on the ...
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The National Health Service was introduced in January 1948 and has been around for no less than 50 years. This chapter discusses the different aspects of the National Health Service, based on the experiences of different authors with ample knowledge of British general practice.Less
The National Health Service was introduced in January 1948 and has been around for no less than 50 years. This chapter discusses the different aspects of the National Health Service, based on the experiences of different authors with ample knowledge of British general practice.
