Two Coalition health policy: a game of two halves or the final whistle for the NHS?
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Martin Powell
Abstract
This chapter contains an analysis of the development of the NHS under the Coalition Government. While some argue that under the Coalition Government the UK approaches the end of the NHS, the analysis shows that the reforms initiated by the Coalition Government have diverging directions and diverging ideological foundations. Whereas in the first part of the Coalition Government’s rule merely competition, privatization and marketization dominated the debate, the second part stills carries the heritages of the neo-liberal paradigm but also introduces other measures to improve the performance of the NHS and guarantee its financial sustainability: prevention, integration and localisation. But the question is if these initiatives are strong enough to guarantee a bright future for the NHS.
Abstract
This chapter contains an analysis of the development of the NHS under the Coalition Government. While some argue that under the Coalition Government the UK approaches the end of the NHS, the analysis shows that the reforms initiated by the Coalition Government have diverging directions and diverging ideological foundations. Whereas in the first part of the Coalition Government’s rule merely competition, privatization and marketization dominated the debate, the second part stills carries the heritages of the neo-liberal paradigm but also introduces other measures to improve the performance of the NHS and guarantee its financial sustainability: prevention, integration and localisation. But the question is if these initiatives are strong enough to guarantee a bright future for the NHS.
Chapters in this book
- Front Matter i
- Contents iii
- Notes on contributors v
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Continuities and change in UK social policy
- Behaviour, choice, and British pension policy 3
- Coalition health policy: a game of two halves or the final whistle for the NHS? 23
- Citizenship, conduct and conditionality: sanction and support in the 21st-century UK welfare state 41
- Housing policy in the austerity age and beyond 63
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Contributions from the Social Policy Association Conference 2015
- ‘Progressive’ neo-liberal conservatism and the welfare state: incremental reform or long-term destruction? 89
- Exploring out-of-work benefit claimants’ attitudes towards welfare reform and conditionality 105
- The Troubled Families Programme: in, for and against the state? 127
- What counts as ‘counter-conduct’? A governmental analysis of resistance in the face of compulsory community care 147
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Individualised budgets in social policy
- Social insurance for individualized disability support: implementing the Australian National Disability Insurance Scheme (NDIS) 173
- Right time, right place? The experiences of rough sleepers and practitioners in the receipt and delivery of personalised budgets 191
- Personal health budgets: implementation and outcomes 211
- Personalised care funding in Norway: a case of gradual co-production 233
- Individualised funding for older people and the ethic of care 251
- Index 269
Chapters in this book
- Front Matter i
- Contents iii
- Notes on contributors v
-
Continuities and change in UK social policy
- Behaviour, choice, and British pension policy 3
- Coalition health policy: a game of two halves or the final whistle for the NHS? 23
- Citizenship, conduct and conditionality: sanction and support in the 21st-century UK welfare state 41
- Housing policy in the austerity age and beyond 63
-
Contributions from the Social Policy Association Conference 2015
- ‘Progressive’ neo-liberal conservatism and the welfare state: incremental reform or long-term destruction? 89
- Exploring out-of-work benefit claimants’ attitudes towards welfare reform and conditionality 105
- The Troubled Families Programme: in, for and against the state? 127
- What counts as ‘counter-conduct’? A governmental analysis of resistance in the face of compulsory community care 147
-
Individualised budgets in social policy
- Social insurance for individualized disability support: implementing the Australian National Disability Insurance Scheme (NDIS) 173
- Right time, right place? The experiences of rough sleepers and practitioners in the receipt and delivery of personalised budgets 191
- Personal health budgets: implementation and outcomes 211
- Personalised care funding in Norway: a case of gradual co-production 233
- Individualised funding for older people and the ethic of care 251
- Index 269
