Health and the National Health Service

The NHS came into existence in an atmosphere of conflict centred on the strong ideological commitment of the Post-war Labour Government and the opposition of the Conservative Party of that time to the idea of a universally available and centrally planned medical care service. There was also opposition from some sections of the medical establishment who feared the loss of professional autonomy. Setting health policy in both an historical and modern context (post 1997) Carrier and Kendall weigh up the successes and failures of the National Health Service and examine the conflicts which have continued for over sixty years, in spite of efforts to solve financial problems in the NHS through increases in funding as well as structural and organisational change. After looking at recent responses to supposed failures of the NHS, they conclude that the NHS has successfully faced the challenges before it and is likely to continue to meet the changing health needs of the population. Financial stresses, concerns about the quality of care and demographic change, with consequent issues for the elderly and the chronically ill, continue to be urgent and politically contentious issues. This book is appropriate for a wide range of undergraduate and postgraduate students studying health policy and the NHS.

John Carrier is a retired academic who has spent most of his teaching career at the London School of Economics mainly in the Department of Social Policy and also, since retirement, in the Department of Law. He was also Dean of Graduate Studies. He has long experience as a lay member of NHS Trust Boards, is an Honorary Fellow of the Royal College of Physicians and an Honorary Bencher of Lincoln's Inn. Ian Kendall is a retired academic who spent his teaching career at the University of Portsmouth in the School of Social and Historical Studies, where he was also Dean of the Faculty of Humanities and Social Sciences for several years.

Part One: Before the NHS 1. Before 'New Liberalism,' The Long History of the State and Health Care 2. From 'New Liberalism' to the 'Pre-War Near-Consensus' 3. War, Beveridge and Health Care 4. Political Parties and Pressure Groups Part Two: The NHS, July 1958-May 1979 5. The Search for Efficiency and Planning 6. The Search for Equity 7. The Search for More Community Health Care 8. The Search for Better Organisation 9. The Search for Better Health Part Three: The NHS, 1979 - 2010 10. Money, Managers and Markets (The Conservative Years, 1979-1997) 11. The Labour Governments 1997-2010 Part Four 12. London (1601-2010) A Case Study 13. The Coalition Government 2010-2014 14. The Health and Social Care Bill 2012 15. The Act and After 16. Conclusions