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Modernising the British National Health Service (NHS) - some ideological and policy considerations

Bradshaw, Peter L. (2003) Modernising the British National Health Service (NHS) - some ideological and policy considerations. Journal of Nursing Management, 11 (2). pp. 85-90. ISSN 0966-0429

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The British National Health Service (NHS) is undergoing a seemingly unprecedented reorganization. The present Government is attempting to modernize a system of care that has been relatively unchanged for over 50 years amid a great deal of its own publicity about its achievements. This paper begins by briefly examining the ideological basis of these reforms. It proceeds to interrogate the rationale for current health policy from the perspective of the Government. It then analyses the arguments of the detractors who oppose the form these changes are taking. The paper concludes that modernization of the NHS is mainly cosmetic but its significance concerns the stimulation of a broader and radical debate about the future funding and delivery of health care in Britain.

Item Type: Article
Additional Information: © 2003 Blackwell Publishing Ltd
Uncontrolled Keywords: funding, health policy, ideology, public–private partnerships, NHS, British National Health Service
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Schools: School of Human and Health Sciences

Blaire A.R.P. (1998) The Third Way. New Politics for a New
Century. Fabian Society, London.
Butler E. & Pirie M. (2001) The New Shape of Public Services,
Vol. 1. Health and Education. Adam Smith Institute, London.
Butler E. & Yarrow G. (2001) Welfare: A Research Agenda.
Adam Smith Institute, London.
DoH (2002a) Delivering the NHS Plan: Next Steps on Investment–
Next Steps on Reform. Department of Health, London.
DoH (2002b) The Government’s Expenditure Plan 2002/03,
Departmental Report. Department of Health, London.
DoH (2002c) Growing Capacity. A New Role for External
Healthcare Providers in England. Department of Health, London.
Duncan-Smith I. (2002) Time for Real Reform. Conservative
Party Press Conference. 9 July 2002. Conservative Party Headquarters,
Smith’s Square, London.
Giddens A. (1998) The Third Way: The Renewal of Social
Democracy. Polity, Cambridge.
Green D. (2001) Six Reasons Why the NHS is Not the Best
Insurance Policy in the World.
Green D. (2002) Public ethos, private delivery? Observer
Comment Extra – The NHS Debate. The Observer, 24
February 2002.
Harrison A. (2001) Developing the public role in a mixed economy.
Kings Fund Publishing, London.
HM Treasury (2002a) Securing Our Future Health: Taking a
Long Term View. Final Report of the Health Trends Review
Team prepared by Derek Wanless. Her Majesty’s Treasury,
HM Treasury (2002b) Opportunity and Security for All: Investing
in an Enterprising, Fairer Britain New Public Spending
Plans 2003–2006. Her Majesty’s Treasury, London.
IPPR (2001) Building Better Partnerships. The Final Report of the
Commission on Public Private Partnerships, Institute for Public
Policy Research, London.
Labour Party (2001) Ambitions for Britain – 2001 Manifesto.
Labour Party, London.
Pirie M. & Worcester R.M. (2001) The Wrong Package. Adam
Smith Institute, London.
Pollock A., Shaoul J., Rowland D. & Player S. (2001) Public
Services and the Private Sector. Catalyst, London.
Pollock A., Shaoul J. & Vickers N. (2002) Private finance and
value for money in NHS Hospitals: a policy in search of a
rationale. British Medical Journal 2002 (324), 1204–1209.
Stationery Office (2001) Report of the Comptroller and Auditor
General – Managing the Relationship to Secure a Successful
Partnership in PFI Projects. Stationery Office, London.
Stationery Office (2002) Health Select Committee. First Report of
Session 2001-02 (HC 308) Inquiry into the role of the private
sector in the NHS. Stationery Office, London.
Warden J. (1998) Britain’s new Welfare System emphasises selfreliance.
British Medical Journal 316 (7137), 1037.

Depositing User: Sara Taylor
Date Deposited: 03 Aug 2007
Last Modified: 15 Nov 2015 15:36


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