학술논문
NHS at 75: general practice through the lens of access
Document Type
Book
Source
The NHS at 75: The State of UK Health Policy. :90-111
Subject
Language
Abstract
Since the inception of the NHS, general practice services have been delivered by GPs working as independent contractors rather than employees. As the NHS reaches its 75th birthday, services are under huge strain, and policy solutions have focused upon augmenting services with new technologies and new types of staff, as well as longer opening hours. Access to care is a particular problem, and in this chapter we consider these contemporary policy solutions through the lens of access as a ‘human fit’ between services and the population served. We argue that this lens allows us to see past technocratic questions as to whether more appointments have been delivered or timely access achieved, to ask more fundamental questions about what general practice is for, and how should it be conceptualised in planning for the future. We argue that making general practice fit for the next 75 years requires a renewed focus on generalist and holistic care.
In its 75th anniversary year, this book examines the history, evolution and future of the NHS.With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.In its 75th anniversary year, this book examines the history, evolution and future of the NHS.With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.In its 75th anniversary year, this book examines the history, evolution and future of the NHS. With contributions from leading researchers and experts across a range of fields, it provides a long-term critical review of the NHS and key themes in health policy.
In its 75th anniversary year, this book examines the history, evolution and future of the NHS.With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.In its 75th anniversary year, this book examines the history, evolution and future of the NHS.With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.In its 75th anniversary year, this book examines the history, evolution and future of the NHS. With contributions from leading researchers and experts across a range of fields, it provides a long-term critical review of the NHS and key themes in health policy.