This memorandum contains the replies received from the Department of Health to a series of questions tabled by the Select Committee, on a wide range of issues grouped under the headings of: current issues including NHS staffing; salaries and wages of non-NHS staff; retirement projections, dental and medical staff payscales; also included are; general expenditure issues; NHS resources and activity; personal social services resources and activity; capital expenditure and investment and questions on the departmental annual report
This memorandum contains the replies received from the Department of Health to a series of questions tabled by the Select Committee, on a wide range of issues grouped under the headings of: expenditure; investment, including the private finance initiative (PFI); NHS Plan and reforms, including staffing, pay and contracts, treatment outside the NHS, and the National Institute for Health and Clinical Excellence (NICE); breakdown of spending programme; activity, performance and efficiency; and departmental annual report.
Public expenditure on health and personal social Services 2007 : Memorandum received from the Department of Health containing replies to a written questionnaire from the Committee, written Evidence
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
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 OHE Compendium of Health Statistics is the one-stop statistical source specially designed for easy use by anyone interested in the UK health care sector and the NHS. It contains over 300 simple easy-to-read tables and charts and provides a wide range of information on UK health and healthcare demography expenditure and major illness in a single volume. It also includes long time series and comparisons with other economically developed nations. The UK data are broken down into England Northern Ireland Scotland and Wales and contain annual figures from as far back as 1949 (the first full year of the NHS). An on-line version of the OHE Compendium is also available. For further information go to www.ohecompendium.org.
Staffing costs account for 70 per cent of NHS funding and the effectiveness of its workforce in large part determines the overall effectiveness of the health service. Workforce planning is the key means for the NHS to understand and anticipate the impact of demographic, technological and policy trends on future service requirements. However, workforce planning in also a challenging and complex issue, in light of social and technological changes, as well as the lengthy timescale involved in training staff (at least three years for most health professions and up to twenty years for some senior doctors). The Committee's report examines the effectiveness of current workforce planning activities, including clinical and managerial staff, particularly in the light of reported deficits in NHS organisations, and how it should be done in the future, including the following issues: workforce developments since 1999, the impact of the European Work Time Directive and increasing international competition for staff, retention and recruitment issues, examples of good practice, how to ensure flexibility in system arrangements, and whether planning should be centralised or decentralised.
Recent changes to the health service including new structures and ways of working at both local and national levels are having major influences on the working lives of every health visitor and community nurse and on their professional opportunities. Understanding these changes is essential and this practical and authoritative handbook addresses them all. The authors all have first-hand experience of the radical changes underway. The clear straightforward format is designed to allow quick access to relevant and up-to-date information. The book is vital reading for every community practitioner.
Dr Alison Talbot-Smith, an experienced doctor and researcher, and Professor Allyson M. Pollock, one of the UKs leading authorities on the NHS, give a lucid and incisive account of the new NHS – which has emerged from a far-reaching programme of market-oriented changes. Providing an authoritative and accessible overview of the new NHS, the book describes: the structures and functions of the new organizations in each of the devolved countries the funding of NHS services, education, training and research and resource allocation the regulation of the new NHS systems and workforce the relationships between the NHS, the Department of Health, local authorities and regulatory bodies, and between the NHS and the private sector the future implications of current policies. This is an indispensable resource for those working in healthcare today as clinicians, academics, researchers and managers. It will also be essential reading for academics, students, and researchers in related fields, as well as the general public.
Learn what trends and factors are influencing families globally How are families the same or different around the world? Families in a Global Context puts the similarities and differences into perspective, presenting an in-depth comparative analysis of family life in 17 countries around the world. Contributors discuss different countries' family life by using a standard framework to review major influences and patterns. The framework allows readers to do comparative reflection across several countries on a variety of daily living elements, including social and economic forces such as urbanization and modernization, changes in gender/courtship/spousal patterns, and war. This book provides an informative illustration of current as well as future trends of family life worldwide. Each chapter in Families in a Global Context describes customary types of family patterns within each country’s social organization and culture. Important social, economic, political, and other trends are explored in detail, and major ethnic, religious, or other subcultures are noted emphasizing marriage and family patterns that differ from the more typical ones. The book is extensively referenced and includes tables to clearly present data. Countries explored in Families in a Global Context include: European countries of Wales, Sweden, Germany, Romania, and Italy African countries of Sierra Leone, South Africa, and Kenya Middle Eastern countries of Turkey and Iran Asian and Oceanian countries of India, China, the Philippines, and Australia Latin American countries of Brazil, Mexico, and Cuba Topics discussed for each country in Families in a Global Context include: demographics mate selection patterns with an emphasis on the dynamics of couple formation marital roles the place and role of children and parenting in families socialization for gender roles differences in education, employment, and other opportunities major stressors affecting families, coping, and adaptation aging and life expectancy issues and much more! Families in a Global Context is an insightful resource for researchers, educators, and advanced undergraduate and graduate students investigating comparative family topics of family life around the world and in cultural context.
