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Radicalism and reality in the National Health Service: fifty years and more
Author(s)Karen Bloor
Corporate AuthorCentre for Health Economics, University of York
PublisherUniversity of York, York, 1998
Pages70 pp
SourcePublications Centre, Centre for Health Economics, University of York YO1 5DD.
KeywordsNational Health Service ; General practice ; Social policy ; Histories ; Lecture papers.
AnnotationThe `social experiment' of the National Health Service (NHS) and its past, present and future was discussed in a series of lectures at the University of York in May and June 1998, and published in this book. Anne Digby's paper considers the creation of the NHS, analysing the tension in the late 1940s between historical forces for continuation, and those for radical innovation and reality. This tension between radicalism and reality has continued. Alan Williams examines ethical dilemmas in medical practice, given scarce financial resources and the need for choice. Marshall Marinker looks at the NHS in the 1960s and 1970s, when general practice came to the forefront. Alan Langlands describes development of general management in the NHS and introduction of the `internal market' under the Thatcher government. Hugh Bayley outlines current government health policy and the reforms suggested for a `new NHS'. The clash between radicalism and reality in these reforms is evident, and will provide further study for the York research group. Finally, Alan Maynard considers the future of the NHS, and suggests some radical and realistic policy alternatives that will ensure the continuation of the NHS. (RH).
Accession NumberCPA-981027205 B
ClassmarkL4: L5: TM2: 6A: 6MA

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