Managers, blame culture and highly ambitious policies in the British National Health Service (NHS)

The British National Health Service

The Changing National Health Service: Market-Based Reform and Morality; Comment on “Morality and Markets in the NHS”

This commentary explores some of the issues raised by Gilbert et al.short communication, Morality and Markets in the NHS. The increasing role of market mechanisms and the changing types of healthcare providers together with the use of choice and competition to drive improvements in quality in the National Health Service (NHS), all have important ethical implications. In order for the NHS to con...

NICE and the British National Health Service

THE INTERPLAY AMONG QUALITY of care, technological innovation, and cost control creates a policy challenge for all health care systems. Improvements in the quality of care can reduce health care costs; for example, better management of chronic conditions may lessen the chance of hospitalization, and new drugs and medical devices might improve the quality and efficiency of care. Often, however, ...

Reorganizing the British National Health Service.

I propose to discuss certain developments in health care arrangements which are planned in the United Kingdom. I will discuss these in terms of Scotland which has a separate health service and a separate health department for which the Secretary of State for Scotland with one of his junior Ministers is responsible to Parliament in Westminster. When the National Health Service was established, S...

Exploring 70 Years of the British National Health Service through Anniversary Documents

The British National Health Service (NHS) celebrates its 70th birthday on July 5, 2018. This article examines this anniversary through the lens of previous anniversaries. It examines seven documents close to each anniversary over a period of some 60 years, drawing on interpretive content analysis, based on the narrative dimensions of context (structure and finance); success or achievements; pro...