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In its 75th anniversary year, this book examines the history, evolution and future of the NHS.
With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.
The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.
It addresses the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.
"'The NHS at 75’ is an authoritative, wide-ranging, but carefully focused review of the current state of the NHS and its future prospects. The authors are all leading social scientists analysing health policy in the UK today." Nicholas Mays, London School of Hygiene and Tropical Medicine.
Mark Exworthy is Professor of Health Policy and Management at the University of Birmingham. He has research and published widely on the topics of health policy implementation, professional-managerial relations, NHS commissioning, and health inequalities. Together with the editors of this book, he also edited ‘Dismantling the NHS?’ which evaluated the health reforms of the Coalition government (2010-2015) (Policy Press 2016).
Russell Mannion is Professor of Health Systems at the University of Birmingham and is Honorary Professor at the Australian Institute for Health Innovation, Macquarie University, Sydney. He has published widely on the topics of health policy evaluation, patient safety and cultures in healthcare. He has provided policy and research advice to a range of international governments agencies including, WHO, OECD and the European Health Management Association.
Martin Powell is Professor of Health and Social Policy at the University of Birmingham. He has published over 100 peer reviewed articles and authored or edited some 20 texts including a series of books for Policy Press exploring social policy under the Labour, Coalition and Conservative governments. He has written widely on health care issues, including with the current co-editors.
Foreword by Simon Stevens
1. The NHS at 75: An Unfolding Story – Mark Exworthy, Russell Mannion and Martin Powell
2. NHS Governance: The Centre Claims Authority – Scott Greer
3. Health and Care Funding at 75 – Anita Charlesworth, Nihar Shembavnekar and George Stevenson
4. The Devolved Nations – John Stewart
5. NHS at 75: General Practice Through the Lens of Access – Kath Checkland, Jennifer Voorhees, Jonathan Hammond and Sharon Spooner
6. NHS Hospitals and the Bedpan Doctrine: The First 75 Years – Rod Sheaff and Pauline Allen
7. Quality and the NHS: Fair-Weather Friends or a Long-Standing Relationship? – Ross Millar, Justin Waring and Mirza Lalani
8. Improving Health and Tackling Health Inequalities: What Role for the NHS? – Martin Powell and Mark Exworthy
9. NHS Managers at a Crossroads: Part of the Problem or the Solution? – Ian Kirkpatrick
10. Forgotten, Neglected and a Poor Relation? Reflecting on the 75th Anniversary of Adult Social Care – Catherine Needham and Jon Glasby
11. The NHS at 75 in Comparative Perspective – Ian Greener
12. Our NHS? The Changing Involvement of Patients and the Public in England’s Health and Care System – Ellen Stewart, Amit Desai and Giulia Zoccatelli
13. After 75 Years, Whither the NHS? Some Conclusions – Martin Powell, Mark Exworthy and Russell Mannion