7 Quality and the NHS: fair-weather friends or a longstanding relationship?
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Ross Millar
Abstract
Quality in the NHS has combined different ideas and assumptions about how improvement can be achieved and for whom these improvements will benefit. This chapter provides a historical account of the quality in the NHS, arguing that while quality and quality improvement continue to remain a focal point for policy and practice, the agenda has lacked a coherent strategy and has struggled to achieve its desired goals. Within the current policy priorities for systems working and integrated care, the quality agenda has the potential to support the NHS, yet its future remains unstable within sedimented governance and socio-political turbulence.
Abstract
Quality in the NHS has combined different ideas and assumptions about how improvement can be achieved and for whom these improvements will benefit. This chapter provides a historical account of the quality in the NHS, arguing that while quality and quality improvement continue to remain a focal point for policy and practice, the agenda has lacked a coherent strategy and has struggled to achieve its desired goals. Within the current policy priorities for systems working and integrated care, the quality agenda has the potential to support the NHS, yet its future remains unstable within sedimented governance and socio-political turbulence.
Kapitel in diesem Buch
- Front Matter i
- Contents v
- List of figures and tables vii
- Notes on contributors viii
- Foreword x
- The NHS at 75: an unfolding story 1
- NHS governance: the centre claims authority 21
- Health and care funding at 75 40
- The devolved nations 71
- NHS at 75: general practice through the lens of access 90
- NHS hospitals and the bedpan doctrine: the first 75 years 112
- Quality and the NHS: fair-weather friends or a longstanding relationship? 136
- Improving health and tackling health inequalities: what role for the NHS? 157
- NHS managers at a crossroads: part of the problem or the solution? 177
- Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care 197
- The NHS at 75 in comparative perspective 216
- Our NHS? The changing involvement of patients and the public in England’s health and care system 232
- After 75 years, whither the NHS? Some conclusions 253
- Index 270
Kapitel in diesem Buch
- Front Matter i
- Contents v
- List of figures and tables vii
- Notes on contributors viii
- Foreword x
- The NHS at 75: an unfolding story 1
- NHS governance: the centre claims authority 21
- Health and care funding at 75 40
- The devolved nations 71
- NHS at 75: general practice through the lens of access 90
- NHS hospitals and the bedpan doctrine: the first 75 years 112
- Quality and the NHS: fair-weather friends or a longstanding relationship? 136
- Improving health and tackling health inequalities: what role for the NHS? 157
- NHS managers at a crossroads: part of the problem or the solution? 177
- Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care 197
- The NHS at 75 in comparative perspective 216
- Our NHS? The changing involvement of patients and the public in England’s health and care system 232
- After 75 years, whither the NHS? Some conclusions 253
- Index 270
