A crisis in social care is apparent across the developed world as ageing populations put
unprecedented demand on understaffed social care workforces. A recent popular response …

The UK health care system is organised around independent medical practitioners who
work in community settings and act as gatekeepers for acute health interventions. Recent …

The frequency and scale of the 'redisorganisation'of the National Health Service has often
been the subject of comment, and in no area is it more evident than patient, public, citizen …

Health systems around the world are under continuing pressure for reform. Health system
reform involves both content and process. Content deals with changes to the structures of …

Many health policy interventions reflect implicit assumptions of cause and effect, contestable
values and partial rationales-particularly in healthcare systems based on notions of …

This chapter focuses an exploration of the tension between public commitments to the
preservation of the National Health Service (NHS) contrasted against political will to …

The optimal balance between central governmental authority and the degree of autonomy of
local public bodies is an enduring issue in public policy. The UK National Health Service is …

Health policy in England in recent years has been described as embodying elements of both
modernisation and marketisation. These processes are intended to achieve a transformation …

This report builds on our interim evaluation of the Summary Care Record programme,
published in 2008. 1-4 We used mainly qualitative methods to analyse the complex and …

In recent years, the British government has attempted to make the finite nature of publicly
funded health care explicit and to involve the 'public'in discussions about which treatments …