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Tables of Contents for The Reorganized National Health Service
Chapter/Section Title
Page #
Page Count
Preface
ix
Selected abbreviations
x
Ministers of Health and Secretaries of State
xiv
Introduction
1
6
References
6
1
Background to today's National Health Service
7
21
Health services before 1948 - a brief history
8
3
Creation of the National Health Service
11
2
Early problems
13
2
Preparing for the first reorganization
15
1
The new arrangements
16
1
Introduction of `general management'
17
1
Working for Patients and Caring for People
18
3
The Health of the Nation
21
1
The 1990 changes in practice
21
2
The new NHS
23
5
Conclusion
25
1
References
25
3
Central government and the National Health Service
28
12
The functions of government departments
28
1
The role of health ministers
29
1
Accountability
29
2
The Department of Health
31
4
The regions
35
2
A change of culture
37
3
Conclusion
39
1
References
39
1
Health authorities
40
11
Planning services 1948-91
40
1
The new purchasers: districts after 1991
41
4
Joint commissioning
45
1
The new NHS
46
1
Health authority membership
47
4
Conclusion
50
1
References
50
1
NHS trusts
51
9
Hospitals
51
2
Setting up NHS trusts
53
3
The first few years of NHS trusts
56
1
Trust management
57
3
Conclusion
58
1
References
59
1
Primary care
60
14
General practice up to 1996
60
6
Primary care groups
66
1
The organization of general practice
67
2
General dentistry
69
1
Pharmaceutical services
70
1
Optical services
71
3
Conclusion
72
1
References
73
1
The NHS in Scotland, Wales and Northern Ireland
74
15
Scotland
74
6
Wales
80
4
Northern Ireland
84
5
Conclusion
87
1
References
87
2
Financing the National Health Service
89
20
Sources of funding
89
1
How the government pays
90
2
Distributing the funds
92
5
Capital and revenue
97
4
The cost of the NHS
101
3
Controlling expenditure
104
1
Private health care
105
4
Conclusion
106
1
References
107
2
Services for Patients
109
35
Planning in the NHS
109
2
Planning procedures, policies and priorities
111
5
Planning for commissioning, purchasing and providing
116
3
Primary care
119
2
Prevention of ill health
121
4
Health and safety at work
125
2
Acute hospital services
127
3
Mothers and babies
130
2
Children
132
1
People with learning disabilities
133
2
The physically disabled
135
1
Mentally ill people
136
2
Elderly people
138
6
Conclusion
141
1
References
141
3
Effectiveness, performance, quality and outcomes
144
17
Evidence-based medicine
144
2
Health outcomes
146
2
Performance
148
1
Value for money
149
3
Accountability
152
3
Quality
155
1
Clinical governance
156
5
Conclusion
158
1
References
159
2
Staffing - doctors and nurses
161
31
Doctors
161
19
Nursing
180
12
Conclusion
189
1
References
189
3
Other staff and human resource issues
192
26
Dentists
192
4
Ophthalmic staff
196
2
Pharmacists
198
1
Other professional staff
199
6
Scientific and technical staff
205
2
Ancillary staff
207
1
Estates staff
208
1
Ambulance staff
209
1
Managerial, administrative and clerical staff
209
1
Personnel management
210
8
Conclusion
215
1
References
216
2
The public and the National Health Service
218
14
Community health councils
218
4
Public opinion
222
1
Patient's Charter
223
1
Complaints
224
2
The work of voluntary organizations
226
1
Medical research and intervention
227
1
Ethics
228
4
Conclusion
230
1
References
230
2
The NHS in an international context
232
17
Equity of provision
233
6
Quality of service
239
2
Financing health care
241
6
Developing countries and Eastern Europe
247
2
Conclusion
247
1
References
248
1
The NHS and the future
249
10
Priority-setting
249
5
The resource question
254
1
Organizational structure
255
4
Conclusion
257
1
References
257
2
Index
259