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Author: Catherine Needham Publisher: Policy Press ISBN: 1447364678 Category : Political Science Languages : en Pages : 227
Book Description
Two decades have passed since the devolution of social care policy, with key differences emerging between the UK’s four systems, but what impact have these differences had? This book presents for the first time research on the perspectives of social care policy makers on the four systems in which they operate and the ways in which they borrow from one another. Drawing on extensive interviews with national and local policy makers across the UK, the book raises vital questions about the role of ‘standardisation’ and ‘differentiation’ in social care, concluding that when given equal capacity to reform their respective systems, the regimes in each nation may take radically different shapes.
Author: Catherine Needham Publisher: Policy Press ISBN: 1447364678 Category : Political Science Languages : en Pages : 227
Book Description
Two decades have passed since the devolution of social care policy, with key differences emerging between the UK’s four systems, but what impact have these differences had? This book presents for the first time research on the perspectives of social care policy makers on the four systems in which they operate and the ways in which they borrow from one another. Drawing on extensive interviews with national and local policy makers across the UK, the book raises vital questions about the role of ‘standardisation’ and ‘differentiation’ in social care, concluding that when given equal capacity to reform their respective systems, the regimes in each nation may take radically different shapes.
Author: Catherine Needham Publisher: ISBN: 9781447364689 Category : Decentralization in government Languages : en Pages : 0
Book Description
The devolution of social care policy has led to key differences emerging between the UK's four care systems. This book presents research on the perspectives of social care policy makers within the UK's four care systems, concluding that when given equal capacity to reform, the systems in each nation may take radically different shapes.
Author: Catherine Needham Publisher: Policy Press ISBN: 1447364651 Category : Medical Languages : en Pages : 226
Book Description
The devolution of social care policy has led to key differences emerging between the UK’s four care systems. This book presents research on the perspectives of social care policy makers within the UK’s four care systems, concluding that when given equal capacity to reform, the systems in each nation may take radically different shapes.
Author: Great Britain. National Audit Office Publisher: The Stationery Office ISBN: 9780102977189 Category : Medical care Languages : en Pages : 56
Book Description
This report highlights key trends and variations in the delivery of healthcare across the four nations of the UK. Life expectancy varies significantly across the UK - from 75.9 in Scotland to 78.6 in England for men, and from 80.4 in Scotland to 82.6 in England for women. Spending on health services in the UK more than doubled in cash terms in the last decade. In 2010-11, despite devoting a higher proportion of total public spending to health, England spent the least on health per person. NHS staff has also increased over the last decade. Scotland has the most GPs per person (80 per 100,000 people in 2009 compared with 70 in England and 65 per 100,000 in both Wales and Northern Ireland). Scotland also has the most medical hospital staff and nursing, midwifery and health visiting staff per person. Comparable data on the efficiency and quality of healthcare are patchy. In 2008-09, average hospital lengths of stay varied from 4.3 days in England to 6.3 days in Wales. Hospital waiting times have fallen in all four nations in recent years, although there are notable variations in how long patients wait for common procedures. In 2009-10 waiting times tended to be lower in England and Wales. There have been significant improvements in levels of healthcare associated infections with rates of MRSA infection dropping by a third or more in all nations. The NAO considers that there would be value in the health departments in the four nations carrying out further work to investigate the variations in performance and identify how they can learn from each other
Author: Secretary of State for Health Publisher: The Stationery Office ISBN: 9780101743228 Category : Business & Economics Languages : en Pages : 92
Book Description
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
Author: Howard M. Leichter Publisher: Cambridge University Press ISBN: 9780521226486 Category : Political Science Languages : en Pages : 340
Book Description
This book provides a framework for explaining why governments adopt the policies they do. In addition, it establishes a basis for comparing political systems in terms of their public policies rather than their institutions or political processes. The book begins by placing in a historical perspective the worldwide role of the state as a major provider of goods and services. Following this general background is an 'accounting scheme' that brings some semblance of order to the seemingly infinite variety of policy-relevant variables and makes the comparative study of public policy more manageable. It is suggested that any nation's public policies can be explained in terms of situational, structural, environmental and cultural factors. The second part of the book applies the accounting scheme to an increasingly specific and narrow range of public policies. The author examines one crucial area of public policy - health care - and the evolution of that policy in four diverse nations: Germany, Great Britain, the Soviet Union and Japan. The book concludes with an assessment of the prospects for an American national health care programme in the light of the experiences of these other nations.
Author: National Research Council Publisher: National Academies Press ISBN: 0309264146 Category : Social Science Languages : en Pages : 421
Book Description
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Author: Great Britain: Department of Health Publisher: The Stationery Office ISBN: 9780101798525 Category : Medical Languages : en Pages : 104
Book Description
The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.
Author: June Thoburn Publisher: ISBN: Category : Child welfare Languages : en Pages : 152
Book Description
This Monograph aims to build awareness of similarities and differences between children in need of child welfare services in apparently similar countries, and in different states within the same country. The study focused on 'post-industrial' societies with broadly similar economies and developed, though differing, child welfare systems. In discussions with policy makers, data analysts and researchers in these countries, possible explanations for these differences were identified.
Author: Sally Robinson Publisher: Routledge ISBN: 1000361896 Category : Medical Languages : en Pages : 418
Book Description
Priorities for Health Promotion and Public Health brings together the evidence behind the UK’s public health priorities into one comprehensible textbook. Taking one theme per chapter, the book examines the social and environmental influences that shape people’s health; health inequalities; poverty and health; mental, emotional and spiritual health; sexual health; physical inactivity; diet; tobacco; alcohol; drugs; weight; cardiovascular disease; cancer; diabetes and dementia. The book takes a holistic approach, combining scientific and epidemiological evidence with the subjective experiences of those who undergo these health journeys. Each chapter explains the causes of poor health and the evidence behind the recommendations for good health and ends by demonstrating the health benefits of positive action. This is a core text for those studying health promotion or public health, and a supplementary text for students of healthcare and social care. The book focusses on adults’ health in the UK, with examples from the four nations, and provides some contextual international information where relevant. Priorities for Health Promotion and Public Health is an ideal companion for busy practitioners who work across the wider sectors that support people’s health and wellbeing. It is also an essential textbook for students new to health promotion and public health.
Author: Catherine Needham
Author: Catherine Needham
Author: Catherine Needham
Author: Catherine Needham
Author: Great Britain. National Audit Office
Author: Secretary of State for Health
Author: Howard M. Leichter
Author: National Research Council
Author: Great Britain: Department of Health
Author: June Thoburn
Author: Sally Robinson