Who Decides Who Decides?: Enabling Choice, Equity, Access, Improved Performance and Patient Guaranteed Care

Author: John Spiers

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  • ISBN: 9781846192760
  • Author: John Spiers
  • Publ Date: 2008-08-25
  • Edition:
  • Pages: 258
  • Status: ACT
  • ID - 16452


This book is a radical argument for the reform of health and social care in Britain. Taking full account of the final report on the future of the NHS by Lord Darzi John Spiers presents cutting-edge arguments for how the public can obtain the standard of care that the state has promised for over 60 years and failed to deliver. The changes he urges include: * individual financial empowerment with everyone holding a tax-based health savings account * ending local Primary Care Trust monopolies to be replaced by competing purchasers * an independent Disclosure and Information Commission * the contestability of the managements of large district hospitals and of Accident & Emergency * a new rapprochement between medical professionals and service users in a market The book examines: * What is the case for choice? * How can choice be made real for the individual? * What impact can genuine individually financially-empowered choice have on effective funding purchasing delivery and outcomes? * How can a genuine market grow and thrive? * How can the quest for choice include the large numbers of NHS and social care staff on whom success depends?


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