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Books > Medicine > General issues > Health systems & services
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In Pursuit of Competence - A Life as a Westminster Nomad (Paperback)
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Discovery Miles 6 790
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In Pursuit of Competence - A Life as a Westminster Nomad (Paperback)
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This is a memoir covering some 50 years' involvement with
delivering public services in a wide range of roles: civil servant;
local government; chairing inquiries and public bodies; special
adviser; Minister; and Parliamentarian. The book's topic areas
include the NHS, social services, social care, welfare benefits,
human rights, criminal justice and constitutional issues like House
of Lords reform. It starts with a government apprenticeship in the
1960s and ends with Brexit and Covid19. It covers successes and
failures; and identifies the limitations of our institutions. The
book ranges over 1970s political battles; Thatcher's efficiency
drive; social services and community care reforms of the 1980s and
90s; and tackling child abuse. A diary kept for the 1997 Election
year sets out what it was like taking over government after a long
period in Opposition. A major reform of the youth justice system is
described, along with developing the Blair government's family
policy. Much of the book is concerned with the NHS and its
shortcomings as well as its iconic status in the UK. There are
chapters on life as the pharmaceuticals Minister; implementing NHS
targets and cutting its bureaucracy; and trying to instal a mega
NHS computer system. The chapters on implementing Tony Blair's NHS
reforms with more patient choice and competition illustrate how
difficult public service reform is. The book poses the possibility
that the NHS in its present form is unsustainable; and explains the
failure to fix the funding of social care. Life in the House of
Lords is described and why it needs major reform. The book
concludes with some ideas on how the Government could build back
better after Brexit and Covid with public sector reform.
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