Author : Catherine Needham
Publisher : Policy Press
Page : 226 pages
File Size : 18,21 MB
Release : 2024-03-12
Category : Medical
ISBN : 1447364651
The devolution of social care policy has led to key differences emerging between the UK’s four care systems. This book presents research on the perspectives of social care policy makers within the UK’s four care systems, concluding that when given equal capacity to reform, the systems in each nation may take radically different shapes.
Author : Naomi Lloyd-Jones
Publisher : Springer
Page : 279 pages
File Size : 33,20 MB
Release : 2017-10-26
Category : History
ISBN : 1137601426
This collection brings together leading and emerging scholars to evaluate the viability of four nations approaches to the history of the United Kingdom from the eighteenth to the twentieth century. It recognises the separate histories of England, Ireland, Scotland and Wales and explores the extent to which they share a common, ‘British’ history. They are entwined, with the points at which they interweave and detach dependent upon the nature of our inquiry, where we locate our ‘core’ and our ‘periphery’, and the ‘cause’ and ‘effect’ of our subject. The collection demonstrates that four nations frameworks are relevant to a variety of topics and tests the limits of the methodology. The chapters illuminate the changing shape of modern British history writing, and provide fresh perspectives on subjects ranging from state governance, nationalism and Unionism, economics, cultural identities and social networking.
Author : Great Britain. National Audit Office
Publisher : The Stationery Office
Page : 56 pages
File Size : 43,65 MB
Release : 2012
Category : Medical
ISBN : 9780102977189
This report highlights key trends and variations in the delivery of healthcare across the four nations of the UK. Life expectancy varies significantly across the UK - from 75.9 in Scotland to 78.6 in England for men, and from 80.4 in Scotland to 82.6 in England for women. Spending on health services in the UK more than doubled in cash terms in the last decade. In 2010-11, despite devoting a higher proportion of total public spending to health, England spent the least on health per person. NHS staff has also increased over the last decade. Scotland has the most GPs per person (80 per 100,000 people in 2009 compared with 70 in England and 65 per 100,000 in both Wales and Northern Ireland). Scotland also has the most medical hospital staff and nursing, midwifery and health visiting staff per person. Comparable data on the efficiency and quality of healthcare are patchy. In 2008-09, average hospital lengths of stay varied from 4.3 days in England to 6.3 days in Wales. Hospital waiting times have fallen in all four nations in recent years, although there are notable variations in how long patients wait for common procedures. In 2009-10 waiting times tended to be lower in England and Wales. There have been significant improvements in levels of healthcare associated infections with rates of MRSA infection dropping by a third or more in all nations. The NAO considers that there would be value in the health departments in the four nations carrying out further work to investigate the variations in performance and identify how they can learn from each other
Author : Catherine Needham
Publisher : Policy Press
Page : 226 pages
File Size : 31,83 MB
Release : 2023-04-27
Category : Political Science
ISBN : 144736466X
Two decades have passed since the devolution of social care policy, with key differences emerging between the UK’s four systems, but what impact have these differences had? This book presents for the first time research on the perspectives of social care policy makers on the four systems in which they operate and the ways in which they borrow from one another. Drawing on extensive interviews with national and local policy makers across the UK, the book raises vital questions about the role of ‘standardisation’ and ‘differentiation’ in social care, concluding that when given equal capacity to reform their respective systems, the regimes in each nation may take radically different shapes. Chapter 4 and chapter 7 are available Open Access under CC-BY-NC-ND licence.
Author : Secretary of State for Health
Publisher : The Stationery Office
Page : 92 pages
File Size : 29,84 MB
Release : 2008
Category : Business & Economics
ISBN : 9780101743228
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
Author : Guy Lodge
Publisher :
Page : 292 pages
File Size : 47,32 MB
Release : 2010
Category : Constitutional law
ISBN :
This book, the third in ippr's Devolution in Practice series, explores how devolution has changed the United Kingdom, identifying where policy is diverging and converging across the four nations, and the implications of this for the future of the Union.
Author : Hugh Kearney
Publisher : Cambridge University Press
Page : 379 pages
File Size : 17,67 MB
Release : 2012-03-29
Category : History
ISBN : 1107623898
Hugh Kearney's classic account of the history of the British Isles from pre-Roman times to the present is distinguished by its treatment of English history as part of a wider 'history of four nations'. Not only focusing on England, it attempts to deal with the histories of Wales, Ireland and Scotland in their own terms, whilst recognising that they too have political, religious and cultural divides. This new edition endeavours to recognise and examine contemporary multi-ethnic Britain and its implications for 'four-nations' history, making it an invaluable case study for European nationhood of the past and present. Thoroughly updated throughout to take into account recent social, political and cultural changes within Britain and examine the rise of multi-ethnic Britain, this revised edition also contains a completely new set of illustrations, including sixteen maps.
Author : June Thoburn
Publisher :
Page : 152 pages
File Size : 27,19 MB
Release : 2007
Category : Child welfare
ISBN :
This Monograph aims to build awareness of similarities and differences between children in need of child welfare services in apparently similar countries, and in different states within the same country. The study focused on 'post-industrial' societies with broadly similar economies and developed, though differing, child welfare systems. In discussions with policy makers, data analysts and researchers in these countries, possible explanations for these differences were identified.
Author : Great Britain: Department of Health
Publisher : The Stationery Office
Page : 104 pages
File Size : 17,40 MB
Release : 2010-11-30
Category : Medical
ISBN : 9780101798525
The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.
Author : Great Britain. Parliament. House of Lords
Publisher :
Page : 1424 pages
File Size : 14,52 MB
Release : 2012
Category : Great Britain
ISBN :
