This paper explores the many meanings of democracy, seeks to define some criteria for assessing whether or not there is a 'democratic deficit' in the NHS, and examines the policy options that have been put forward for making the NHS more 'democratic'. The first section analyses the various ways in ...
It is simply not possible to provide people with all the health care they need. Rationing is inevitable and the public must play a major role in the debate. This publication is about talk and action in health care rationing, and presents the latest thinking and practical experience in rationing ...
Since 1948, doctors have had a powerful influence on national and local health policies. They have not, however, always had a happy relationship with the administration that had to implement the policies. Recently the argument for cost effective management, rather than just efficient administrators, in the NHS has been greatly ...
This paper presents an analysis of the factors underlying the conflict over the pay beds issue which erupted in 1974-76; a conflict which some consider to have been one of the precipitating reasons for the appointment of the Royal Commission. The first section of the paper sets out the basic ...
The aim of this discussion paper is to give the reader an understanding of the issues involved in rationing in the evolving context of the contemporary NHS in England. Our paper is not intended as a primer: we provide no advice about how rationing decisions ought to be made. Nor ...
The Commission for Health Improvement was launched in November 1999 as the monitor in the National Health Service. It will be wound up in April 2004, when its responsibilities will be passed to the Commission for Healthcare Audit and Inspection (CHAI). This three year study analyses CHI's methodology, activities and ...