Health policy in Britain : the politics and organisation of the national health service

Extensively revised, the fourth edition of this leading text takes account of the major changes in healthcare policy in recent years. It provides an updated description and analysis of both the organisation and politics of the NHS, and examines both in the light of Labour government policy since the election of 1997. 1. The Politics Of Leisure And Policy -- Leisure Politics And Policy In Industrialising Britain -- 2. Political Ideology And Central Government Leisure Policy -- Liberalism: The Political Philosophy Of The New Right -- Conservatism -- Socialism -- New Labour: In Search Of A Third Way -- The Consequences Of Political Ideologies For Leisure Policy -- Gender, Race, Political Ideologies And Leisure Policy -- The Erosion Of The Social Democratic Consensus -- 3. Leisure, The State And Policy: New Labour In The New Millennium -- 'new Economic Realism' And The Restructuring Of The Welfare State: Some Leisure Policy Continuities Across Labour And Conservative, Governments, 1976-84 -- State Flexibilisation And Disinvestment: Part 1 -- The Emergence Of A New Right Leisure Policy Agenda In The Later Thatcher Governments, 1985-90 -- Flexibilisation And Disinvestment: Part 2 -- Leisure Policy And The Major Administrations, 1990-7 -- New Labour And The Search For A Responsible Market --^ Leisure, The State And Social Theory -- 4. Local Government And Leisure Policy: From The Thatcher Era To The Modernisation Agenda -- Local Government Leisure Services In The 1970s: An Arm Of The Welfare State -- Local Government And New Economic Realism, 1976-85 -- Flexibilisation And Disinvestment In Local Government Leisure Services: The Conservative Governments Of 1985-97 -- In Search Of The Responsible Market: Local Government And New Labour's Modernising Agenda -- 5. The Leisure Professionals -- From Facility Managers To Liberal Welfare Professionals: Public Sector Leisure Management In The 1970s -- Professionalism In Local Government Under Pressure In The 1980s: From Welfare Ideology To New Economic Realism -- Leisure And Management In The Context Of The Flexible State And Disinvestment: The New Right, New Managerialism And Competitive Management -- In Search Of The Responsible Market: From Contract Culture To Transformational Management --^ 6. The Commercial And Voluntary Sectors -- The Historical Context Of The Development Of The Commercial And Voluntary Sectors In Leisure In Industrial Britain -- The Leisure And The Commercial Sector In Britain At The Beginning Of The Twenty-first Century -- Leisure And The Voluntary Sector In Britain In The 1980s And 1990s -- 7. Social Regulation And The Governance Of Leisure -- Regulation Theory: Explanations Of The Changing Global Political Economy -- Thatcherism As A Hegemonic Project, Post-fordism And Urban Leisure Policy -- Post-fordist Local Government And Leisure Policy -- Leisure Policy In Sheffield: The Journey From Left Fordist To Right Post-fordist Strategy -- Conclusion: Some Comments On Local, National And Transnational Influences On Leisure Policy -- 8. Leisure Politics And Policy: Strategic Relations In The Global Context -- Strategic Relations And Policy: The City And The Nation-state -- Strategic Relations And Leisure Policy: The European Union. Ian P. Henry. Includes Bibliographical References (p. 254-274) And Index. "In this new edition of Health Policy in Britain, Christopher Ham traces the growth of government involvement in health care from the public health legislation of the nineteenth century to the creation of the NHS in 1948. He goes on to analyse the development of the NHS in its first fifty years, focusing particularly on the Thatcher government's internal market reforms and the Blair government's plans for the modernisation of the NHS. This leads into an assessment of contemporary issues in health policy and the debate about rationing generated by the growing gap between the demand for health care and the availability of resources. At the core of the book is an analysis of the politics of health care. How are decisions made and what influences their implementation? Do politicians run the NHS or are civil servants the real decision-makers? How much power do pressure groups have over policy and have managers taken over from doctors as controllers of the NHS at a local level? And is the devolution of responsibility for rationing decisions an example of politicians seeking to avoid accountability?"--Jacket Front Matter....Pages i-xv Introduction....Pages 1-3 The Development of Health Services and Health Policy....Pages 4-26 Health Policy under Thatcher and Major....Pages 27-50 New Labour and the NHS....Pages 51-71 Contemporary Issues in Health Policy....Pages 72-96 The Policy-making Process in Central Government....Pages 97-119 Making and Changing Health Policy....Pages 120-151 Implementing Health Policy....Pages 152-175 Monitoring and Evaluating Health Policy....Pages 176-202 Power in Health Services....Pages 203-217 Back Matter....Pages 218-237 Mullins and Murie explore the evolution and practice of UK housing policy in this up-to-date textbook. They cover contemporary issues, policies, and management across the whole range of housing tenures, set in an historical and comparative context This volume provides an account of the impact of social, economic and cultural change on the demand for leisure and the response of politicians and professionals. It discusses the situation with regard to post-Thatcher era issues Extensively revised for its fourth edition, this book describes and analyses the organisation and politics of the NHS, and examines both in light of Labour government policy since 1997