Modernisation, the NHS Plan and healthy communities

Gerald Wistow

doi:10.1108/EUM0000000006182

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Journal of Management in Medicine

ISSN: 0268-9235
Currently published as: Journal of Health Organization and Management
Incorporates: Health Manpower Management

Online from: 1986

Subject Area: Health Care Management/Healthcare

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Modernisation, the NHS Plan and healthy communities

Document Information:
Title:	Modernisation, the NHS Plan and healthy communities
Author(s):	Gerald Wistow, (Nuffield Institute for Health, University of Leeds, Leeds, UK)
Citation:	Gerald Wistow, (2001) "Modernisation, the NHS Plan and healthy communities", Journal of Management in Medicine, Vol. 15 Iss: 5, pp.334 - 351
Keywords:	Community relations, Improvement, National Health Service
Article type:	Research Paper
DOI:	10.1108/EUM0000000006182 (Permanent URL)
Publisher:	MCB UP Ltd
Abstract:	This paper reviews the NHS Plan from the perspective of the Government’s wider programme of “modernising” public services. Although broadly focussed, particularly highlights older people. Two dimensions of modernisation are identified. The NHS Plan is seen to be patient-cited – rather than citizen-centred. Argues further, that, if the economic, social and environmental causes of ill health are to be addressed more generally and if citizens are to be enabled to live in healthy, sustainable communities, planning for health services should logically be subordinate to planning for health. Health improvement plans should, therefore, be integrated within the wider community strategies for which local authorities are to have lead responsibility. Similarly, as ill health is recognised to be an important aspect of poverty, inequality and social exclusion, there is a strong case for the integration of the regional offices of the NHSE within the wider structure of regional governance. Finally, the personal social services should ensure that the values of social work and social care are not displaced by medical and nursing models which, historically, have shown little understanding of community development processes.