Three Who choosing what? The evolution of the use of ‘choice’ in the NHS, and its importance for New Labour
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Ian Greener
Abstract
This chapter addresses the role of ‘choice’ in UK health policy documents. It studies the changes in who is meant to make choices in the National Health Service and the kinds of choices that they are supposed to be making. It considers ‘choice’ as a key aspect of consumerism in contemporary welfare policy. The chapter also compares patient choice with previous attempts to use choice as a policy instrument, and then considers its future implications.
Abstract
This chapter addresses the role of ‘choice’ in UK health policy documents. It studies the changes in who is meant to make choices in the National Health Service and the kinds of choices that they are supposed to be making. It considers ‘choice’ as a key aspect of consumerism in contemporary welfare policy. The chapter also compares patient choice with previous attempts to use choice as a policy instrument, and then considers its future implications.
Chapters in this book
- Front Matter i
- Contents iii
- List of tables and figures iv
- Notes on contributors vi
- Introduction: the year in social policy 1
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UK social policy
- Thinking historically about integration 15
- Invest and reform: spending review 2002 and its control regime 31
- Who choosing what? The evolution of the use of ‘choice’ in the NHS, and its importance for New Labour 49
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International issues
- Globalisation/welfare: what’s the preposition? And, or, versus, with? 71
- Convergence in social welfare systems: what does it mean? 91
- Analysing the health transition: what the Greek case tells us about the social determinants of health 111
- Welfare reform in the United States: the first five years of TANF 123
- Social policy in the East Asian tiger economies: past, present and future 155
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In focus: Pensions and old age
- Adapting pension systems to labour market changes in western Europe 175
- Pensions choices for the 21st century: meeting the challenges of an ageing society 197
- The schlock and the new: risk, reflexivity and retirement 217
- Pension sharing on divorce: the future for women 239
- Index 263
Chapters in this book
- Front Matter i
- Contents iii
- List of tables and figures iv
- Notes on contributors vi
- Introduction: the year in social policy 1
-
UK social policy
- Thinking historically about integration 15
- Invest and reform: spending review 2002 and its control regime 31
- Who choosing what? The evolution of the use of ‘choice’ in the NHS, and its importance for New Labour 49
-
International issues
- Globalisation/welfare: what’s the preposition? And, or, versus, with? 71
- Convergence in social welfare systems: what does it mean? 91
- Analysing the health transition: what the Greek case tells us about the social determinants of health 111
- Welfare reform in the United States: the first five years of TANF 123
- Social policy in the East Asian tiger economies: past, present and future 155
-
In focus: Pensions and old age
- Adapting pension systems to labour market changes in western Europe 175
- Pensions choices for the 21st century: meeting the challenges of an ageing society 197
- The schlock and the new: risk, reflexivity and retirement 217
- Pension sharing on divorce: the future for women 239
- Index 263
