• Summary
  • Contents
  • Subject index

`This excellent, concise and even-handed book confronts the contradictions and dilemmas at the heart of today's NHS. The book is aimed at healthcare professionals and students of health policy, and covers its major themes over the past 60 years, with particular attention to Labour's policy agenda since 1997' - Healthmatters Health Policy for Health Care Professionals is a contemporary guide to the health service, its origins and current agenda, which focuses on the challenges faced by health service workers in implementing government policy at local level. The book's aim is to help health care professionals make assessments of health policy by giving them an understanding of the ideological basis of the British health care system and the challenges facing the modern National Health Service. is ...

Who Controls the NHS?
Who controls the NHS?

The NHS is an esteemed institution despite any critics it may have and this, as has been illustrated repeatedly in previous chapters, adds to its intense politicisation. This chapter will analyse the organisation, direction and control of the service that have proven so difficult to secure throughout its history. The chapter will selectively consider the relative contribution of the major aspects of power and control that will include:

  • The macro-management of the NHS: its regulation.
  • The micro-management of the NHS: its organisational context.
  • Medical power.
  • Doctors and managers in the modernised NHS.

Ultimately the secretary of state for health is in charge of the NHS. Through the Civil Service and the Department of Health and its subordinate agencies, government policy is intended to ...

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