Lansley's NHS "reforms"

McLellan, Alastair; Middleton, Jenni; Godlee, Fiona

doi:10.1136/bmj.e709

Cited by 10 publications

(6 citation statements)

References 4 publications

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“…The Act represents the biggest single reorganisation of the NHS since it was established in 1948. Despite a general acknowledgment that the current system was unsustainable, the measures contained in the Act have created much disquiet amongst mainstream health professionals [21] who under the reforms are set to be charged with independently controlling much of the £106bn healthcare budget [22]. …”

Section: Discussionmentioning

confidence: 99%

A health care system in transformation: making the case for chiropractic

Brown¹

2012

Chiropr Man Therap

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There are a number of factors that have conspired to create a crisis in healthcare. In part, the successes of medical science and technologies have been to blame, for they have led to survival where lives would previously have been cut short. An informed public, aware of these technological advances, is demanding access to the best that healthcare has to offer. At the same time the burden of chronic disease in an increasing elderly population has created a marked growth in the need for long term care. Current estimates for expenditure predict a rapid escalation of healthcare costs as a proportion of the GDP of developed nations, yet at the same time a global economic crisis has necessitated dramatic cuts in health budgets. This unsustainable position has led to calls for an urgent transformation in healthcare systems.This commentary explores the present day healthcare crisis and looks at the opportunities for chiropractors as pressure intensifies on politicians and leaders in healthcare to seek innovative solutions to a failing model. Amidst these opportunities, it questions whether the chiropractic profession is ready to accept the challenges that integration into mainstream healthcare will bring and identifies both pathways and potential obstacles to acceptance.

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Section: Discussionmentioning

confidence: 99%

A health care system in transformation: making the case for chiropractic

Brown¹

2012

Chiropr Man Therap

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“…30 It was criticised by an unprecedented joint editorial condemning the bill in the leading journals for the medical profession (British Medical Journal), managers (Health Service Journal) and nurses (Nursing Times), for resulting in upheaval that 'has been unnecessary, poorly conceived, badly communicated, and a dangerous distraction at a time when the NHS is required to make unprecedented savings' . 31 Thus, Enthoven's 1985 proposals for care integration on HMO lines were completely lost in translation by the Thatcher government in 1989 and subsequent 'reforms' . 32 Such integration is particularly important for the effective management of chronic diseases in an ageing population.…”

Section: An Internal Market For Hospitals: a Concept Lost In Translat...mentioning

confidence: 99%

Healthcare: to marketise or not to marketise?

Bevan

2023

How Did Britain Come to This? A Century of Systemic Failures of Governance

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“…This joint editorial is only the second in the more than 100 year histories of The BMJ and the Health Service Journal 8. We are publishing it because we believe the government is about to blunder into another major error that will cost many lives.…”

Section: What Should Be Donementioning

confidence: 99%