Managing Public Involvement in Health Care Purchasing / Edition 1

by Lupton

Overview

Public involvement is a key theme within the post-reform NHS, with a growing emphasis on involving people in healthcare decision-making, improving accountability to the public and developing a stronger focus on the consumer or user of services. This challenging book establishes a framework for public involvement in healthcare. With a focus on purchasing, the authors draw on recent research findings and their practical experience to describe the central factors 'driving' involvement, and the organizational structures and processes by which it is underpinned. Recommendations are made for the development of effective strategies for public involvement in healthcare purchasing. The discussion of current issues and debates is set within a wider theoretical and historical examination of the concepts of 'citizenship' and 'accountability', detailing the role of the 'consumer' in the context of the major changes in the organization and delivery of public services that have taken place in Britain in the last two decades.

Product Details

ISBN-13:	9780335196326
Publisher:	McGraw-Hill Companies, The
Publication date:	07/28/1998
Series:	Health Services Management Series
Edition description:	New Edition
Pages:	176
Product dimensions:	9.00(w) x 6.00(h) x 0.38(d)

Table of Contents

Acknowledgements		vii
Preface		viii
Health and citizenship		1	(16)
Introduction		1	(1)
The rise of collectivism		2	(4)
The challenge of the 'new liberalism'		6	(2)
The New Right and healthcare		8	(1)
Citizens and consumers		9	(2)
The limits of the market		11	(3)
The limits of the state		14	(3)
Restructuring public services		17	(14)
Introduction		17	(1)
New public management: new paradigm?		17	(2)
Reforming the UK public sector: a game of two halves		19	(12)
Politics, markets and accountability		31	(13)
Introduction		31	(1)
The fragmented state		31	(2)
The modernization of accountability		33	(4)
Eroding the political checks and balances		37	(3)
Accountability in the NHS		40	(4)
Understanding public involvement		44	(18)
Introduction		44	(1)
Democratic and consumerist approaches		45	(1)
Influence, power and empowerment		46	(5)
Involvement, representation and accountability		51	(5)
Involvement and participation in public services		56	(6)
The history of public involvement in health		62	(16)
Introduction		62	(1)
Establishing the NHS: the introduction of citizen rights?		63	(2)
The first thirty years: the consolidation of professional power and the birth of patient groups		65	(6)
The 1980s: the introduction of general management and the rediscovery of public health		71	(5)
New solutions for old problems?		76	(2)
Healthcare purchasing: a new framework for public involvement		78	(15)
Introduction		78	(1)
The development of purchasing		79	(6)
The rise of primary care-based purchasing		85	(2)
Accountability and the democratic deficit		87	(4)
New frameworks		91	(2)
Public involvement: health authority responses		93	(16)
Introduction		93	(1)
The policy context of public involvement		94	(4)
Involving the public: the experience of health authorities		98	(5)
The independent voice of the consumer: the changing role of the CHCs		103	(2)
Primary care purchasing and public involvement		105	(2)
Reconciling consumerist and democratic approaches		107	(2)
Involvement: the response from the public		109	(17)
Introduction		109	(1)
Who gets involved and why		110	(4)
Dependency, vulnerability and the importance of identity		114	(7)
Good practice from the public perspective		121	(5)
The future of public involvement		126	(14)
Introduction		126	(1)
The impact of national policy and guidelines		127	(2)
The role of health authorities		129	(1)
The role of primary care purchasers		130	(2)
Managing public involvement		132	(4)
Future developments in the NHS		136	(4)
Bibliography		140	(16)
Index		156

Editorial Reviews

Establishes a framework for public involvement in healthcare under the UK's National Health Service. Describes the central factors driving involvement and the organizational structures and processes underpinning it, and recommends effective strategies for encouraging public involvement. Discussion of current issues is set within a wider theoretical and historical examination of the concepts of citizenship and accountability, detailing the changing role of the consumer in the context of developments in public services that have taken place in Britain in the last two decades. Annotation c. by Book News, Inc., Portland, Or.

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