The National Health Service (NHS) is a state run entity set up by the Labour government after 1948 as part of the welfare state. It was originally run by local authorities with funding from public money allocated by central government. Though in recent years this money has been moving to the private sector and many have speculated that this is privatisation by stealth. In this essay I will attempt to understand this process by giving some historical context to the events of the last few decades while pointing out some of the advantages and disadvantages, and the forms it could take, of privatisation. In conclusion I hope to point to a future where the NHS can exist with public money and private management. ' 'It came out of a working …show more content…
That they will cut bureaucracy, while subjecting spending plans to stringent management oversight and thus provide better services for cheaper. Unfortunately the ' 'reduction in public provision of long term care, NHS dentistry, optical services and elective surgery shows the trajectory for the NHS under the PFI. ' '10 We only have to look to Austria to find a
One of the biggest obstacles to successful management of the NHS, and also to any analysis of its current well being, remains the significant lack of any valid information as to what the NHS does, how much it costs and where the money is spent. Indeed, it is perhaps surprising that 'the 1990 changes' were conceived and implemented as fast as they were, given the lack of information that was available in 1988. (Ham, 1996) Attempts were made at the start to ensure that hospitals began from a 'level playing field' so that they were in fair competition with one another, but the sometimes 10 fold differences in the early quoted costs for identical services in different hospitals had as much to do with differing costs of maintaining buildings
This assignment will be describing the structures of health and social care within the British Welfare state. This includes looking at the roles of different sectors, agencies, professions and the distinction between health and social care. It will then analyse the relationships between both health and social care and its wider historical, ideological and social context. Lastly, it will compare structures and contexts of health and social care within two nations of the United Kingdom.
One of the strengths of the NHS England is residents receive free fully funded medical care that includes all medical treatment, screenings including antenatal, dental, prescriptions, specialist referrals and optometrists (NHS England, 2016). Furthermore, while being free at point of access, the NHS system is an efficient, effective, care, safe, coordinated and patient centred system that was ranked number two worldwide on equity (NHS England, 2016). Free healthcare supports Ham 's (2010) claim that being free at point of entry is a characteristic of a high performing health care system. The benefits of free healthcare were that everyone was able to get the same medical treatment.
The NHS came around in July 5, 1948. The Health Minister Aneurin (also known as Nye) Bevan purely nationalised the existing system across the UK. The groundbreaking change was to make all services freely available to everyone. Half of Scotland’s landmass was already covered by a state-funded health system serving the entire community and directly run from Edinburgh. Additionally, the war years had seen a state-funded hospital building programme in Scotland on a scale unknown in Europe. This was combined into the new NHS. Scotland also had its own individual medical tradition, this is centred on its medical schools rather than private practice. The legislation that empowered the UK to have the NHS is National Health Service Act (1948), this despite opposition from doctors, who maintained on the right to continue treating some patients privately. The NHS ensured that Doctors, hospital, dentists, opticians, ambulances, midwives and health visitors were available, free to everybody. This Reason why we have health services is because it developments a view that health care was a right, not something given unreliably by charity, also two-party’s agreement that the existing services were in a mess and had to be sorted out, it stopped financial difficulties for the voluntary hospitals and After the second world war it ensured the creation of an emergency medical service as part of the war effort
This essay will examine how the development of the Welfare State and the NHS changed the lives of the people of Britain since its introduction in 1948. To enable me to do so, I will analyse and evaluate the key relevant aspects that happened during that period.
Starting with the organizational structure of the NHS, it is basically an umbrella organization that comprises of four regional branches, in particular, NHS (England), NHS Scotland, Health and Social Care in Northern Ireland and NHS Wales. The financing for all these institutions comes from a universal source, particularly the tax-payer money of residents of UK, although they operate to an extent as self-governing institutions. The treasury allocates money to the department of Health, which in turn allocates money to NHS England (Understanding the new NHS). In other words, the top executives of these four institutions take decisions independently for day to day operations although they abide by broader governing directives applicable to the UK region as a whole. Governance is an important aspect of the operating of the NHS, for without it exploitation by private vested interests is likely to happen. (National Health Service (NHS): A study of its Structure, Funding and Regulation, Strengths and Weaknesses, n.d.)
The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need
It has been widely accepted that rationing of the National Health Service (NHS) is paramount to maintaining and balancing public resources. In a utopian world it would be possible to provide every patient with every medical treatment that they would require, however this is not possible and therefore rationing has to be applied by local health authorities. Simply, there are not enough resources and medical staff available to keep up with the ever evolving demands of the public, and once more, these medical resources can’t at times tend to the needs of the medical advancements made every day. Some equipment and medicines are extremely costly and the NHS struggles to balance public budgets in the face of such advancements. One survey of a primary care trust in the NHS found that the panel that made that decision about funding new treatments was faced with applications that would have
The NHS has grown to become the world’s largest publicly funded health service system since 1948(Nhs.uk, 2015).There are many issues and disputes in NHS. Nowadays,some people believe that the NHS should be abolished or privatized,because it can solve many issues with NHS.This essay agree that the NHS should not be abolished or privatized.
Today’s changes to the NHS have been called the most radical in the whole of the 60 years that it’s been in existence. In today’s NHS charities and private firms are now involved much more widely, in areas such as mental health and end of life care. Although they do have a much smaller role in hospital setting than they used to have. One of the biggest changes is that doctors now have budgets from which they buy healthcare, it could be from NHS trusts or private sectors, the new scheme is called GP
To get my health care reform started, the basic format of Britain’s National Health Service will be followed. It will feature large tax-based financing to fund
With all the facts disclosed in the paper, it is clear that universal healthcare is counter-effective. It causes higher taxation, shortage of doctors and medical supplies, as well as the lack of motivation in innovation within the industry and enhancing the quality of medical services due to zero competition. Our conclusion is that holistic free health services should predominantly be given to vulnerable and low-income groups who suffers from serious conditions so that they can receive effective treatment in time. Thusly, NHS can not only improve the efficiency in improving waiting times but also improve service qualities, on the other hand, higher-income groups can benefit from less taxation and utilize it for minor medical costs. Without a doubt, under serious or emergency circumstance, higher income population should also be assisted and treated in high
Private Finance Initiative (PFI) also supports the argument, which is supportive of private health care. A department of health spokesperson said that PFI was providing the NHS and patients with the biggest hospital building programme in its history. PFI is a scheme, separate from the NHS which provides value for money and is the best way of meeting the costs of the hospital building programme. It has shown to be a sound way of securing funding for a new hospital as at present, more than 400 PFI contracts, worth more than £100bn are currently in effect or on the agenda. It is said that sixty to seventy new hospitals over the next few years is the most extensive building programme the NHS have seen for decades, worth billions of pounds.
This ‘neo-liberal approach’ of a reduction in the governments authority could threaten organisations such as the NHS, privatizing the public service to American Investors, the ISDS compensation rules making it almost impossible
At the wave of the NPM, Western Countries policies and standards reinforced the new configuration of CHS (Gallego, 2000), which on the other hand obtained an important social consensus in the Catalan territory (Sabaté i Casellas, 2015). All health systems in the high-income world, being Bismarckian, Beveridge, or even private models (such as the United States) were (and still are) mutually influenced (Fletcher, 2014), applying NPM methods in health and other social welfare different ways (Hood, 1996). Indeed, the UK NHS is a good example, experiencing at that time the increase of consumerism, the establishment of services’ standardization and competitive tendering for ancillary services, inspired by the speeches