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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.
The shift of services from acute hospitals to general practice
requires clinicians to become actively involved in the process of
change. This book sets out to demonstrate that with careful
planning, implementation and evaluation of this process, problems
can be avoided and the quality of service enhanced. The authors
demonstrate a clear understanding of the practical issues involved
and their evident enthusiasm for the opportunities now available
will stimulate innovation in hospital staff, the health care team
in general practice and NHS managers responsible for the delivery
of a more efficient and responsible service.
Sharing the costs of ill health is the mark of a civilised society.
However, every society has limited healthcare resources, and must
therefore make finely balanced decisions on how best to allocate
them. The National Institute for Health and Clinical Excellence
(NICE) has been responsible for the UK's health resource allocation
for a decade. To inform its decisions, a Citizens Council of 30
members of the general public was established by NICE to gauge the
underlying values of the society it serves. A number of national
and international organisations and governments have asked NICE to
share its experiences in establishing and running the Citizens
Council, and encouraging and supporting patient involvement. As
part of NICE's response, this book provides an up to date 'position
statement' on the Citizens Council, an exploration of how patients
interact with NICE and how their views are taken into account, and
a national and international perspective on new issues facing the
interaction between patients, the public and healthcare provision.
'Reading this volume will enable you, the reader, to assess how
well NICE is acting as a means of fostering responsible public
choice. I hope you profit from its chapters as much as I have.' -
Albert Weale in his Foreword
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