A public health crisis is gripping the UK. COVID-19 revealed the weaknesses of the UK's public health system, once thought to be among the best in the world. Against this background, this book examines the organisational and political barriers to an effective public health system showcased through the UK. It urges that what is needed is a new social contract, in which health policy is truly public.

Health care systems across the world are in a state of permanent revolution as they struggle to cope with multiple pressures arising from changing demography, new technologies, and limited resources. Focusing on the British NHS, this book offers a fresh look at how it has coped with such pressures over its 60 year history and considers what the future holds. The book explores the complexity of health policy and health services, offering a critical perspective on their development. A number of tensions are evident in contemporary health policy and the book is organised around a selection of these, including: the funding of health systems and the changing mix of public and private arrangements; the capture of medicine by management; the imbalance between health and health care; and the growing emphasis on markets and competition in health care systems.The health debate offers a lively and accessible reassessment of successive reforms of the NHS and their cyclical nature. A unique feature of the book is its breadth and assembly in one place of a range of interrelated, and largely unresolved, policy puzzles. The book will appeal to all students of health care and health policy, and to policy-makers and health care professionals. "Policy and Politics in the Twenty-First Century" - This exciting series offers a guide through some of today's most hotly contested policy issues by distinguished leaders in the field. Each book untangles current policy debates, looking behind the rhetoric and spin to discover what is at the core of contemporary political agendas. Authors present their own perspectives and make recommendations for what could - or should - be our priorities for future policy reform.

The General Practice Jigsaw provides comprehensive and up-to-date information on the future of education training and professional development in general practice and primary care. It is an anthology of work produced by many of the leading figures in general practice across the United Kingdom. General practice now faces challenges that could be seen as threatening the way it traditionally operates but can also be seen as presenting opportunities. This book provides inspiration and guidance to its readers and fuel for the challenges ahead. It shares knowledge and best practice on education teaching and professional development drawing on examples from local regional and national projects. It is essential reading for general practitioners involved in education and training for everyone who needs to know how revalidation and professional development will influence them and for all members of primary health care teams who want to be involved in shaping the primary care organisations of the future.

Following the Governments health reforms in 1991 rationing has been put firmly on the agenda. This book identifies and clarifies the numerous political and ethical issues surrounding rationing in healthcare. Drawing upon international examples it offers a critical overview of the approaches to rationing and makes practical proposals for its management.
"Desperately Seeking Solutions "challenges the assumption that all health services are inherently subject to rationing as demand invariably outstrips supply and examines this within a comparative framework. The author critically evaluates the extent to which rationing has always existed and should exist within the NHS, although until recently it operated on an implicit rather than explicit basis and was bound up with clinical judgements rather than purely financial considerations. The author questions whether calls for explicit rationing are actually desirable and potentially feasible.

Following the Governments health reforms in 1991 rationing has been put firmly on the agenda. This book identifies and clarifies the numerous political and ethical issues surrounding rationing in healthcare. Drawing upon international examples it offers a critical overview of the approaches to rationing and makes practical proposals for its management.Desperately Seeking Solutions challenges the assumption that all health services are inherently subject to rationing as demand invariably outstrips supply and examines this within a comparative framework. The author critically evaluates the extent to which rationing has always existed and should exist within the NHS, although until recently it operated on an implicit rather than explicit basis and was bound up with clinical judgements rather than purely financial considerations. The author questions whether calls for explicit rationing are actually desirable and potentially feasible.

Health care systems everywhere face multiple pressures from changing demography, the rise of non-communicable disease, the growing demand on health services, and limited resources at a time of austerity. Focusing on the British NHS from a political science perspective, this second edition of this best-selling book offers a fresh look at how it is coping with such pressures. The book explores the complexity of health policy and health services, offering a critical perspective on concerns including integrated care, the return of public health to local government and moves to devolve health services to local level. Crucially, it offers a critique of the market-style changes introduced by the Coalition government between 2010 and 2015. Students of health care and health policy, policy-makers and public health and health care professionals will find this lively and accessible reassessment of NHS reforms invaluable.

NHS reform continues to be a topical yet contentious issue in the UK. Reforming healthcare: What's the evidence? is the first major critical overview of the research published on healthcare reform in England from 1990 onwards by a team of leading UK health policy academics. It explores work considering the Conservative internal market of the 1990s and New Labour's healthcare reorganizations, including its attempts at performance management and the reintroduction of market-based reform from 2004 to 2010. It then considers the implications of this research for current debates about healthcare reorganization in England, and internationally. As the most up-to-date summary of what research says works in English healthcare reform, this essential review is aimed at anyone interested in the wide-ranging debates about health reorganization, but especially students and academics interested in social policy, public management and health policy.

NHS reform continues to be a topical yet contentious issue in the UK. Reforming healthcare: What's the evidence? is the first major critical overview of the research published on healthcare reform in England from 1990 onwards by a team of leading UK health policy academics. It explores work considering the Conservative internal market of the 1990s and New Labour's healthcare reorganizations, including its attempts at performance management and the reintroduction of market-based reform from 2004 to 2010. It then considers the implications of this research for current debates about healthcare reorganization in England, and internationally. As the most up-to-date summary of what research says works in English healthcare reform, this essential review is aimed at anyone interested in the wide-ranging debates about health reorganization, but especially students and academics interested in social policy, public management and health policy.

The UK government's reforms of the NHS and public health system require partnerships if they are to succeed. Those partnerships concerned with public health are especially important and are deemed to be a 'good thing' which add, rather than consume, value. Yet the significant emphasis on partnership working to secure effective policy and service delivery exists despite the evidence testifying to how difficult it is to make partnerships work or achieve results. Partnership working in public health presents the findings from a detailed study of public health partnerships in England. The lessons from the research are used to explore the government's changes in public health now being implemented, most of which centre on new partnerships called Health and Wellbeing Boards that have been established to work differently from their predecessors.The book assesses their likely impact and the implications for the future of public health partnerships. Drawing on systems thinking, it argues that partnerships can only succeed if they work in quite different ways. The book will therefore appeal to the public health community and students of health policy.

The UK government's reforms of the NHS and public health system require partnerships if they are to succeed. Those partnerships concerned with public health are especially important and are deemed to be a 'good thing' which add, rather than consume, value. Yet the significant emphasis on partnership working to secure effective policy and service delivery exists despite the evidence testifying to how difficult it is to make partnerships work or achieve results. Partnership working in public health presents the findings from a detailed study of public health partnerships in England. The lessons from the research are used to explore the government's changes in public health now being implemented, most of which centre on new partnerships called Health and Wellbeing Boards that have been established to work differently from their predecessors.The book assesses their likely impact and the implications for the future of public health partnerships. Drawing on systems thinking, it argues that partnerships can only succeed if they work in quite different ways. The book will therefore appeal to the public health community and students of health policy.

Health systems everywhere are experiencing rapid change in response to new threats to health, which include lifestyle diseases, risks of pandemic flu, and the global effects of climate change. At the same time, health inequalities continue to widen despite efforts to halt and reverse them. Such developments have profound implications for the future direction of public health policy and practice. This book offers a wide-ranging, provocative, and accessible assessment of challenges confronting a public health system in the UK, exploring how its parameters have shifted over time and identifying the origins of long-standing dilemmas in public health practice. The book provides an overarching review of the state of public health system, and it is based on an extensive literature review and research. It includes historical policy and practice, and it focuses on key issues facing UK public health services, such as management, commissioning, workforce development, and public engagement.

Expertly mixing theory with practice, this text makes a unique and important contribution to the area of health management.

Through examples and case studies drawn from across Europe, Managing for Health explores the management challenge in public health policy and offers pointers to equip students of health management and public health managers with the necessary perspectives and skills to function effectively in the twenty-first century. This book takes a comparative perspective on the issues of health improvement and the struggle between the needs of acute care providers, such as hospitals and those that provide preventative measures to promote health.

The key issues addressed by this book include:

• the concept of managing for health, or public health management
• the importance of public health management
• the skills and frameworks required of managers and practitioners working in health systems
• the implications for training and development.

This comprehensive and balanced textbook is an essential read for students and those engaged with health management, public health and public management .

Expertly mixing theory with practice, this text makes a unique and important contribution to the area of health management.

Through examples and case studies drawn from across Europe, Managing for Health explores the management challenge in public health policy and offers pointers to equip students of health management and public health managers with the necessary perspectives and skills to function effectively in the twenty-first century. The book takes a uniquely comparative perspective on the issues of health improvement and the struggle between the needs of acute care providers, such as hospitals and those that provide preventative measures to promote health.

The key issues addressed by this book include:

• the concept of managing for health, or public health management
• the importance of public health management
• the skills and frameworks requires of managers and practitioners working in health systems
• the implications for training and development.

This comprehensive and balanced textbook is an essential read for students and those engaged with health management, public health and public management .

Osteoarthritis Health Professional Training Manual addresses current gaps in knowledge and the skills and confidence that are necessary to deliver evidence-based OA care that is consistent with international guidelines and for effective translation to clinical practice for health professionals. Written for health care professionals that meet patients with osteoarthritis in the clinic, like GPs, physiotherapists, rheumatologists, orthopedic surgeons, and MDs and PTs in training, medical students and basic researchers on osteoarthritis who want an update on the clinical aspects of OA, this book addresses the urgent need to improve health professional knowledge in managing patients with osteoarthritis.

A trustworthy clinical companion, the textbook offers best practice and management strategies for these common joint diseases. Formerly published as Osteoarthritis, the extensively revised third edition of the Oxford Textbook of Osteoarthritis and Crystal Arthropathy provides up-to-date and evidence-based guidance on how to assess, diagnose, and manage patients. A prestigious and international author team ensure information is expert and relevant-this is a practical tool for clinicians managing people with osteoarthritis, gout, and other crystal-associated arthritis. Confidently consider and chose the right blend of treatment for your patient, whether physical, pharmacological, surgical, or supportive. The Oxford Textbook of Osteoarthritis and Crystal Arthropathy provides full coverage of joint failure, and includes detailed sections on epidemiology, risk factors, clinical assessment, and investigations. This edition also now includes new sections on gout and other crystal arthropathies. Clinically relevant and easily understandable overviews of basic science, including pathology and pain physiology, along with critical appraisal of current guidelines, make this a highly valuable resource. Significant coverage is also given to patient education and the involvement of the patient in management planning. Also highly illustrated, the textbook is a strong reference tool with summary boxes and key points at the end of chapters making it easy to find information quickly and help you deliver the optimum patient outcome. The textbook equips rheumatologists and musculoskeletal health professionals with the knowledge to provide best possible patient care.

Global health has seen an influx of investment and interest over the last two decades, fueling significant gains in areas such as infectious disease and maternal and child health. As new threats continue to emerge - pandemics, health impacts of climate change, the growing burdens of an aging population - it's clear that global health will require fresh thinking and continued investment in order to build on its early successes. Readings in Global Health is a collection of authoritative review articles on topics in global health excerpted from the New England Journal of Medicine. Authored and edited by leading voices in the field, this volume serves as an ideal introduction to both the state of global health and its road from here. With extensive illustration, referencing, and supplemental commentaries by editors David J. Hunter and Harvey V. Fineberg, it's an essential guide to the principles and practice of global health and works as a textbook for students taking global health courses as well.

Osteoarthritis: The Facts helps patients and their carers better understand the condition, empowering patients with the knowledge and skills to actively take charge of their own health by knowing as much as they can about osteoarthritis, and finding out how this can be best managed. Part 1 details what osteoarthritis is, what causes it, who it affects, what the main symptoms are, how it is diagnosed, and what the long-term outcome is. Part 2 explains the potential aspects of management that can be used for osteoarthritis, including self-management strategies, exercise, diet, medications, surgical treatments, and alternative therapies. Osteoarthritis: The Facts also includes a useful resources section, including information on support groups and websites, providing the reader with an opportunity to educate and empower themselves with tools that will help reduce their suffering.

"Comprehensive and comprehensible, but also encouraging - informed by the hope and belief that informed its creation." -Cancer Amid sweeping advances in the science and treatment of cancer, the TEXTBOOK OF CANCER EPIDEMIOLOGY offers students and professionals a definitive, systematic resource for understanding the factors affecting all types of human cancer. This fully updated new edition offers an overview of epidemiology's key concepts and methods as they relate to cancer (including the emerging potential of biomarkers) as well as site-specific chapters on individual cancers' natural history, pathology, descriptive epidemiology, and etiology. Taken together, these chapters forge connections between established science and the ongoing evolution of this dynamic field. Crisply and concisely written by an assembly of internationally recognized researchers, the TEXTBOOK OF CANCER EPIDEMIOLOGY offers a superlative introduction to the subject's consensuses and controversies for those embarking on their careers and a ready reference for seasoned professionals.