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NHS

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by

Lucy Dodge

on 20 March 2014

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Transcript of NHS

Extended Project Qualification: Lucy Dodge
March 2014

Changing Demographics
- Ageing population
- Rise in chronic diseases
- Increased immigration
Conclusions
“The NHS will last as long as there are folk left with the faith to fight for it”
The challenge of choice....
'The establishment of the Welfare State by the 1945 Labour Government and its continuing viability? '
How far is the continued survival of the NHS simply a matter of political will?
'How far is the continued survival of the NHS simply a matter of political will?'
Key Players
e.g. Medical Profession and Workforce, Politicians, Trade Unions, Public
Factors other than political will
e.g. Financial constraints and changes in demographics
Potential outcomes
- possibilities and solutions for the future
Specific ideologies
e.g. Collectivism/Socialism vs. Neoliberalism
Different models of healthcare
- Public, Private or a hybrid?
Comparisons with other healthcare models
e.g. Influence from American insurance system and contrast with Nordic services
Privatisation
- compatibility with NHS principles
Public consent
e.g. National Treasure vs. willingness for tax rise
Comparison between dominant ideologies
- 1945 vs. Now
RESEARCH
Managing and organising my time
Challenges facing the NHS
Cost and Affordability
- Current financial strains
- Value for money
- Employment
An Ideological Battle
The rise of market forces
- Collectivist optimism and the spirit of '45
- Emergence of a neo-liberal ideology
- 2012 Health and Social Care Act
- Free market principles and privatisation
Our turn towards America – a viable model for the UK?
- 'Payment by results'/ISTCs/Simon Stevens
- Contrast with Obamacare
The key players: whose political will?
The people and their political representatives
- National treasure
- Single national brand engenders loyalty
- NHS as an electoral issue
- NHS constitution
The NHS workforce

Deciding for the future
Potential models
- Gift economy
Public consent for funding
- Are the British public willing to pay more tax to fund the NHS?
- Comparison with Nordic healthcare systems
Church model
Paternalism
Planning
Need
Priorities
Trust
Universalistic
Stability
Garage Model
Consumerism
Responsiveness
Demand
Choice
Contract
Pluralistic
Adaptability
Reflections
Aneurin Bevan
Full transcript