Universal, comprehensive health care, equally available to all and disconnected from income and the ability to pay, was the goal of the founders of the National Health Service. This book, by one of the NHS's most eloquent and passionate defenders, tells the story of how that ideal has been progressively eroded, and how the clock is being turned back to pre-NHS days, when health care was a commodity, fully available only to those with money. How this has come about-to the point where even the shrinking core of free NHS hospital services is being handed over to private providers at the taxpayers' expense-is still not widely understood, hidden behind slogans like "care in the community," "diversity" and "local ownership." Allyson Pollock demystifies these terms, and in doing so presents a clear and powerful analysis of the transition from a comprehensive and universal service to New Labour's "mixed economy of health care," in which hospitals with foundation status, loosely supervised by an independent regulator, will be run on largely market principles. The NHS remains popular, Pollock argues, precisely because it created the "freedom from fear" that its founders promised, and because its integrated, non-commercial character meant low costs and good medical practice. Restoring these values in today's health service has become an urgent necessity, and this book will be a key resource for everyone wishing to to bring this about.

The issue of justice in the field of health care is becoming more central with concerns over access, cost and provision. Obamacare in the United States and the Health and Social Care Act 2012 in the United Kingdom are key examples illustrating the increasing pressure put on governments to find just and equitable solutions to the problem of health care provision. Justice and Profit in Health Care Law explores the influence of justice principles on the elaboration of laws reforming health care systems. By examining the role played by key for-profit stakeholders (doctors, employers and insurers), it tracks the evolution of distributive norms for the allocation of health care resources in western welfare states. Essentially, this book sheds light on the place given to justice in the health care law-making process in order to understand the place we wish to give these principles in future health care reforms.

This collection of essays looks at issues of health and citizenship in Europe across two centuries. Contributors examine the extent to which the state can interfere with the private lives of its citizens, the role of individual responsibility and if any boundary occurs in terms of what the state can realistically provide.

Exploring the story of user involvement in the NHS over the last 30 years, this fascinating new book provides an analysis of the conceptual terrain that underlies debates about public and patient involvement. It is essential reading for students in all health related disciplines for whom the user experience is key.

The National Health Service, or NHS, is the United Kingdom’s national healthcare system. It oversees the public’s health and ensures the medical wellbeing of the population of the UK. Governance network processes are complex because of the different nature of agendas and strategies of actors involved in health, but increasingly, because of the link between social and healthcare delivery, recent initiatives to provide a joined up or integrated approach have been presented. However, the extent of joined-up governance processes in the National Health Service is rather uneven. So far, reforms to try to improve the running of the NHS through the introduction of market mechanisms or increased decentralization have only served to exacerbate such tensions and resulted in further fragmentation of the public health system. The NHS and Contemporary Health Challenges From a Multilevel Perspective illustrates the complexities of governing public health services that are part of the NHS and takes an innovative approach by examining public health provision through a multiscalar lens, which reveals significant limits of the current governance model. The book raises the various challenges that clinical staff, public authorities, and the general public face in the provision of healthcare to uphold core values inherent in health systems. While highlighting topics including health governance, patient satisfaction, and public health, this book is ideally designed for policymakers, government officials, healthcare administrators, hospital managers, healthcare researchers, medical professionals, and students.

An engaging, inclusive history of the NHS, from its surprising survival over the decades to today's crises

Patricia Holland offers a fascinating study of the ways in which changes to public services, and shifts in the concept of 'the public' under Margaret Thatcher's three Conservative governments, were mediated by radio and television in the 1980s.