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The human geography of the UK is currently being reshaped by a
number of forces - such as globalisation, transition in the
organisations of production, the changing character of state
intervention, and changing relationships with Europe. A
consideration of the impacts of these forces on economic, social
and political landscapes is, therefore, an urgent task. At the same
time, enduring institutional features of the British economy and
polity are also having important influences on socio-economic
processes. The result is a complex mosaic of uneven development,
which belies the notion of simplistic regional contrasts. Rather
than simply mapping spatial inequality, 'A United Kingdom?' charts
the processes underpinning uneven development at a range of scales
and for a number of key topics. The book draws upon and synthesises
the latest contemporary research findings and places emphasis on
the interrelated nature of economic, social and political
geographies. It treats the human geographies of the UK in a
coherent and integrated way, and asks whether contemporary
processes of change are tending towards the reduction of
socio-spatial divisions or their reproduction in new forms.
Improving access to hospital services has been a goal of public policy in Britain for over seventy years, but the means by which this goal is to be attained have changed significantly over time. Drawing substantially on original research, lanning, Markets and Hospitals represents a systematic attempt to access the strengths and weaknesses of different forms of planning and coordination of hospital development. The period covered includes: services prior to 1948; wartime hospital policy; the successes and failures of the mixed economy of health care in the inter-war period; the national hospital plan of 1962 and ultimately the market based reforms of 1991 and the changes since. This book makes a fresh contribution to enduring debates about planning and regulation of health care, about the governance of welfare services and about the appropriate role for voluntary, commercial and charitable provision of services. It reinterprets previous histories of hospital policy and questions whether current policies will reconcile competing goals of equity and choice.
Contents: Part One: Introduction Part Two: Pre-NHS Initiatives: The Limits to Voluntarism 2. Legacies, Donations and Municipal Priorities 3. Roots of Regionalism 4. Wartime Debates on Regionalism Part Three: The Attractions of and Limits to State Planning 1948-1973 5. Negotiations Over the Capital Programme 6. Genesis and Proposals of the Hospital Plan 7. Public Expenditure Restraint and Hospital Policy 8. Medical Dominance and the Sectoral Allocation of Resources Part Four: State Failure? The Death of Planning and the Proposals for Reform 9. Economic Realities: Cuts in Capital Programmes and the Privatisation of Capital Development 10. The Death of Regionalism? The NHS Reforms and Beyond Part Five: 11. Concluding Comments
Mutualism and health care, newly available in paperback, presents
the first comprehensive account of a major innovation in hospital
funding before the NHS. The voluntary hospitals, which provided the
bulk of Britain's acute hospital services, diversified their
financial base by establishing hospital contributory schemes.
Through these, working people subscribed small, regular amounts to
their local hospitals, in return for which they were eligible for
free hospital care. The book evaluates the extent to which the
schemes were successful in achieving comprehensive coverage of the
population, funding hospital services, and broadening opportunities
for participation in the governance of health care and for the
expression of consumer views. It then explores why the option of
funding the post-war NHS through mass contribution was rejected,
and traces the transformation of the surviving schemes into health
cash plans. This is a substantial investigation into the
attractions and limitations of mutualism in health care. It is
highly relevant to debates about organisational innovations in the
delivery of welfare services. -- .
The human geography of the UK is currently being reshaped by a
number of forces - such as globalisation, transition in the
organisations of production, the changing character of state
intervention, and changing relationships with Europe. A
consideration of the impacts of these forces on economic, social
and political landscapes is, therefore, an urgent task. At the same
time, enduring institutional features of the British economy and
polity are also having important influences on socio-economic
processes. The result is a complex mosaic of uneven development,
which belies the notion of simplistic regional contrasts.Rather
than simply mapping spatial inequality, 'A United Kingdom?' charts
the processes underpinning uneven development at a range of scales
and for a number of key topics. The book draws upon and synthesises
the latest contemporary research findings and places emphasis on
the interrelated nature of economic, social and political
geographies. It treats the human geographies of the UK in a
coherent and integrated way, and asks whether contemporary
processes of change are tending towards the reduction of
socio-spatial divisions or their reproduction in new forms.
How voluntary action has been defined and measured is considered
alongside individuals' accounts of their participation and
engagement in volunteering over their lifecourse in this pioneering
study. Combining rich, qualitative material from the Mass
Observation Archive (1981-2012) with data from longitudinal and
cross-sectional social surveys, it asks what is the scope and
appetite for expansion of voluntary effort?
How voluntary action has been defined and measured is considered
alongside individuals' accounts of their participation and
engagement in volunteering over their lifecourse in this pioneering
study. Combining rich, qualitative material from the Mass
Observation Archive (1981-2012) with data from longitudinal and
cross-sectional social surveys, it asks what is the scope and
appetite for expansion of voluntary effort?
Mutualism and health care presents the first comprehensive account
of a major innovation in hospital funding before the NHS. The
voluntary hospitals, which provided the bulk of Britain's acute
hospital services, diversified their financial base by establishing
hospital contributory schemes. Through these, working people
subscribed small, regular amounts to their local hospitals, in
return for which they were eligible for free hospital care.
Mutualism and health care evaluates the extent to which the schemes
were successful in achieving comprehensive coverage of the
population, funding hospital services, and broadening opportunities
for participation in the governance of health care and for the
expression of consumer views. The book then explores why the option
of funding the post-war NHS through mass contribution was rejected,
and traces the transformation of the surviving schemes into health
cash plans. This is a substantial investigation into the
attractions and limitations of mutualism in health care. It is
highly relevant to debates about organisational innovations in the
delivery of welfare services.
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