The place of charity in a public health service: Inequality and persistence in charitable support for NHS trusts in england

Bowles, James; Clifford, David; Mohan, John

doi:10.1016/j.socscimed.2023.115805

Cited by 9 publications

(8 citation statements)

References 16 publications

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“…It also makes it possible to reduce health inequalities. Rapid access to health services also facilitates emergency interventions [4]. Fitzpatrick [5] examined the impact of stocks in the public health sector on private sector prices and access to health services.…”

Section: Literature Reviewmentioning

confidence: 99%

Generating a Novel Artificial Intelligence-Based Decision-Making Model for Determining Priority Strategies for Improving Community Health

Gökalp,

Dinçer,

Eti

et al. 2024

J. Oper. Intell.

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Improving public health affects society in many ways. Improved public health can lead to a longer and healthier life. Policymakers cannot address all these criteria at the same time due to both time and budget constraints. Therefore, priority strategies need to be formulated by determining the importance weights of these criteria. Accordingly, the purpose of this study is to evaluate the significance of the strategies determined for the development of public health. For this purpose, analytic hierarchy process (AHP) method is considered to define the importance of the strategies. Within this scope, artificial intelligence methodology is integrated with the Spherical fuzzy sets. In this framework, the decision matrix of AHP is obtained by artificial intelligence system. Next, the steps of Spherical fuzzy sets are implemented. The main contribution of this manuscript is considering artificial intelligence methodology to create decision matrix. Hence, the weights of the experts can be computed based on their qualifications. By the help of this condition, it may be possible for the opinion of experts with better qualifications to be taken into consideration with a higher coefficient. This situation has a positive contribution to increase the accuracy of the findings. The findings indicate that accessibility is the most important strategy to improve public health. Similarly, vaccination and preventive services also play a significant role for this situation.

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Section: Literature Reviewmentioning

confidence: 99%

Generating a Novel Artificial Intelligence-Based Decision-Making Model for Determining Priority Strategies for Improving Community Health

Gökalp,

Dinçer,

Eti

et al. 2024

J. Oper. Intell.

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“…But he was acting as the popular vanguard for Thatcher’s economic policy, encouraging personal responsibility, and the building of the public good through acts of charity and private finance rather than state investment (see Mohan, 2014). The rebuilding of Stoke Mandeville through private money and donations was to be “a pioneering example of the type of ‘partnership’ between government and the public that the prime minister was keen to promote” (Davies, 2014, p. 356), with Savile maintaining that it was not the duty of the government to find the money, referencing the history of private and voluntary hospitals in the United Kingdom pre-1948 (for more on the balance between public and charity funding of the NHS, see Abnett et al, 2023, and Bowles et al, 2023). His secretary Janet Cope saw Stoke Mandeville and other large public institutions (like the Leeds General Infirmary and Broadmoor) as the big beasts that Savile wanted his name attached to, where the limelight and good publicity was ensured, leading the way to a knighthood.…”

Section: “Dr Do-good”: Savile’s Story and Charitymentioning

confidence: 99%

Charity and Abuse: Fundraising and Symbolic Power in the Case of Jimmy Savile

Dean

2023

Nonprofit and Voluntary Sector Quarterly

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In life, Jimmy Savile was revered as Britain’s greatest charity fundraiser. In death, he is remembered as Britain’s most notorious pedophile. Raising over £40 million for good causes throughout his media career, a year after his death several investigations revealed a history of abuse of hundreds of children, mostly young girls, across the institutions he worked or volunteered at. Using the framework of the symbolic power of charity, this article documents how these crimes were either missed or covered up. Savile used his fundraising prowess and the “good glow” of his reputation to enable his abuse and shield him from discovery. Institutions prioritized their reputation or fundraising income over bad publicity and proper safeguarding. Drawing on a growing critical literature, this is the first article to explore the role of Savile’s charity in his crimes and highlights the increased concern over charity’s role as a tool of reputation laundering for elites.

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“…The role of charity is not trivial, with annual charitable income peaking at the equivalent of around £700 million in 2020 prices in the early 2000s, while more recent estimates place the figure at approximately £450 million. 1 There are very substantial variations in charitable funds available to NHS trusts: several entities have budgets in the tens of millions which, in some cases, are equivalent to several per cent of the annual budgets of the Trust itself (Bowles et al, 2023). This role has led to ongoing questions about the extent to which charitable funds could or should be used to provide goods or services which are properly thought of as being part of a comprehensive statutory health service.…”

Section: Introductionmentioning

confidence: 99%

The role of charitable funding in the provision of public services: the case of the English and Welsh National Health Service

Abnett

Bowles

Mohan

2023

Policy &Amp; Politics

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The role of charity in the provision of public services is of substantial academic and practitioner interest, and charitable initiative within the English and Welsh National Health Service (NHS) has recently received considerable attention. This study provides rich insights into the role that NHS-linked charities present themselves as playing within the NHS. The dataset analysed is a novel construction of 3,250 detailed expenditure lines from 676 sets of charity accounts. Qualitative content analysis of itemised descriptions of expenditure allows us to explore how these charities portray their activities. We distinguish between expenditures that can be framed as supplementary to government funding (such as amenities and comforts) and items that suggest charitable effort is substituting for government support (such as funding for clinical equipment). We also consider the claims being made through these representations, and suggest that the distinctiveness of the charity and NHS spheres are currently under question. We argue that, through their representational practices, charities are both shaping and blurring the expected roles of government and charity. Acceptance of the benefits that charitable initiative does provide, in terms of innovation, pluralism and participation, must be tempered with the realisation that charitable funds are playing a role in service provision that is not guided by clear policy, and that this has the potential to widen existing inequalities within a key public service.

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The place of charity in a public health service: Inequality and persistence in charitable support for NHS trusts in england

Cited by 9 publications

References 16 publications

Generating a Novel Artificial Intelligence-Based Decision-Making Model for Determining Priority Strategies for Improving Community Health

Generating a Novel Artificial Intelligence-Based Decision-Making Model for Determining Priority Strategies for Improving Community Health

Charity and Abuse: Fundraising and Symbolic Power in the Case of Jimmy Savile

The role of charitable funding in the provision of public services: the case of the English and Welsh National Health Service

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