Keywords
Citation
(2009), "Who Decides Who Decides? Enabling Choice, Equity, Access, Improved Performance and Patient Guaranteed Care", International Journal of Health Care Quality Assurance, Vol. 22 No. 1. https://doi.org/10.1108/ijhcqa.2009.06222aae.001
Publisher
:Emerald Group Publishing Limited
Copyright © 2009, Emerald Group Publishing Limited
Who Decides Who Decides? Enabling Choice, Equity, Access, Improved Performance and Patient Guaranteed Care
Article Type: Recent publications From: International Journal of Health Care Quality Assurance, Volume 22, Issue 1
Please note that unless expressly stated, these are not reviews of titles given. They are descriptions of the books, based on information provided by the publishers.
John Spiers,September 2008,Radcliffe Publishing,ISBN 10 1 84619 276 5; ISBN 13 9781846192760,
Keywords: Healthcare standards, Healthcare improvement, Patient involvement
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:
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Individual financial empowerment with everyone holding a tax-based health savings account.
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Ending local Primary Care Trust monopolies, to be replaced by competing purchasers.
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An independent Disclosure and Information Commission.
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The contestability of the managements of large district hospitals and of Accident & Emergency.
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A new rapprochement between medical professionals and service users in a market.
The book examines:
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What is the case for choice?
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How can choice be made real for the individual?
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What impact can genuine, individually financially-empowered choice have on effective funding, purchasing, delivery, and outcomes?
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How can a genuine market grow and thrive?
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How can the quest for choice include the large numbers of NHS and social care staff on whom success depends?
Contents include:
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“Why choice?”.
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“Two concepts of order”.
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“Six policy recommendations”.
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“The present reforms ‘coherent and right’?”.
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“What are politicians for?”.
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“Cancer and ‘the efficiency myth’”.
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“The ‘choice agenda’ and the problem of knowledge”.
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“Between the data and the deep blue sea”.
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“Coercion, contagion, learning, coaching”.
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“My body, but your decision? ‘Concordat’, and shared decision-making”.
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“Culture, kultur, and permission to change”.