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Debates in personalisation
by Catherine Needham Jon GlasbyThis unique book brings together, for the first time, advocates and critics of the personalisation agenda in English social care services to debate key issues relating to personalisation. Perspectives from practitioners, service users and academics come together to give an account of the practicalities and controversies associated with the implementation of personalised approaches. The conclusion examines how to make sense of the divergent accounts presented, asking if there is a value-based approach to person-centred care that all sides share. Written in a lively and accessible way, practitioners and academics in health and social care, social work, public policy and social policy will appreciate the interplay of rival arguments and the way that ambiguities in the care debate play out as policy ideas take programmatic form.
Debates in personalisation
by Catherine Needham Jon GlasbyThis unique book brings together, for the first time, advocates and critics of the personalisation agenda in English social care services to debate key issues relating to personalisation. Perspectives from practitioners, service users and academics come together to give an account of the practicalities and controversies associated with the implementation of personalised approaches. The conclusion examines how to make sense of the divergent accounts presented, asking if there is a value-based approach to person-centred care that all sides share. Written in a lively and accessible way, practitioners and academics in health and social care, social work, public policy and social policy will appreciate the interplay of rival arguments and the way that ambiguities in the care debate play out as policy ideas take programmatic form.
Studying health inequalities: An applied approach (Evidence For Public Health Practice Ser.)
by Jonathan WistowNew public health governance arrangements under the coalition government have wide reaching implications for the delivery of health inequality interventions. Through the framework of understanding health inequalities as a 'wicked problem' the book develops an applied approach to researching, understanding and addressing these by drawing on complexity theory. Case studies illuminate the text, illustrating and discussing the issues in real life terms and enabling public health, health promotion and health policy students at postgraduate level to fully understand and address the complexities of health inequalities. The book is a valuable resource on current UK public health practice for academics, researchers and public health practitioners.
Governance, commissioning and public health (Evidence for Public Health Practice)
by Linda MarksDrawing on in-depth case studies across England, this book argues that governance and population health are inextricably linked. Using original research, it shows how these links can be illustrated at a local level through commissioning practice related to health and wellbeing. Exploring the impact of governance on decision- making, Governance, commissioning and public health analyses how principles, such as social justice, and governance arrangements, including standards and targets, influence local strategies and priorities for public health investment. In developing ‘public health governance’ as a critical concept, the study demonstrates the complexity of the governance landscape for public health and the leadership qualities required to negotiate it. This book is essential reading for students, academics, practitioners and policy-makers with an interest in governance and decision-making for public health.
Commissioning for health and well-being: An introduction
by Jon GlasbyCommissioning is now a key task for health and social care - and yet policy aspirations often outstrip the infrastructure needed to support commissioners as they take difficult decisions about future services and to make commissioning a career of choice for future leaders. While commissioning was important under New Labour, it seems set to be even more fundamental now as commissioners think about future services in an era of austerity. Against this background, this is the first comprehensive text on a key area of management practice , exploring what commissioning is, where it has come from and where it might be taking us. With a wide range of leading contributors from fields including health care, social care, local government , the book takes students, practitioners and managers through key stages of the commissioning cycle as well as addressing cross-cutting themes such as the economics of commissioning, user involvement and commissioning in an era of personalisation. It is essential reading for everyone involved in the planning and delivery of health and social care - for social policy students, health and social care practitioners, managers and policy makers alike.
Rationing in health care: The theory and practice of priority setting
by Iestyn Williams Suzanne RobinsonThe challenges faced by those rationing scarce health care resources have intensified following the economic downturn. This book tackles this challenge by exploring the latest thinking and practice on priority setting methods. In an accessible style the book brings together theories, practice and evidence from a wide range of disciplines and provides practical, evidence-based prescriptions for decision makers. It will be of interest to all health care managers and students of health care policy and management.
What works in reducing inequalities in child health 2nd edn.
by Helen RobertsThe UK has a deservedly strong reputation for work on understanding social inequalities in health, but there is some way to go in using research and other types of knowledge to reduce inequalities in child health. This revised and updated edition of an important report looks at macro public policy interventions, community interventions, and individual level interventions in a variety of settings, including infancy, early years, childhood, adolescence, and particular needs including looked after children. It considers 'what works' - or might work - in practice. There are new case studies, updated research references, and new reference to cost effectiveness - all relevant for doing the right thing in a climate of austerity. Drawing on evidence from the UK and beyond, the book presents these in an accessible form, not just for those who make decisions now, but also for the students of today who are the decision makers of tomorrow. The book is supported by a companion website, containing additional materials for both students and lecturers, which is available from the link above.
Organisational innovation in health services: Lessons from the NHS Treatment Centres
by John Gabbay Andrée Le MayAmid a welter of simultaneous policy initiatives, treatment centres were a top-down NHS innovation that became subverted into a multiplicity of solutions to different local problems. This highly readable account of how and why they evolved with completely unforeseen results reveals clear, practical lessons based on case study research involving over 200 interviews. Policy makers, managers and clinicians undertaking any organisational innovation cannot afford to ignore these findings.
The political economy of health care: Where the NHS came from and where it could lead (Health and Society series)
by Julian Tudor HartWith a foreword by Tony Benn. Drawing on clinical experience dating from the birth of the NHS in 1948, Julian Tudor Hart, a politically active GP in a Welsh coal mining community, charts the progress of the NHS from its 19th century origins in workers' mutual aid societies, to its current forced return to the market. His starting point is a detailed analysis of how clinical decisions are made. He explores the changing social relationships in the NHS as a gift economy, how these may be affected by reducing care to commodity status, and the new directions they might take if the NHS resumed progress independently from the market. This edition of this bestselling book has been entirely rewritten with two new chapters, and includes new material on resistance to that world-wide process. The essential principle in the book is that patients need to develop as active citizens and co-producers of health gain in a humanising society and the author's aim is to promote it wherever people recognise that pursuit of profit may be a brake on rational progress.
Public health ethics and practice
by Stephen Peckham Alison HannEthical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. In addition, the same technology and knowledge is increasing professional and public awareness of new potential public health threats (e.g. pandemic influenza). At the level of public policy, concerns over the rising costs of health care have led to a more explicit focus on 'health promotion', and the surveillance of both 'patients' and the so-called 'worried well'. Health professionals and policy makers also have to consider the implications of managing these risks, for example restricting individual liberty through enforced quarantine (in the wake of SARS and more recently swine flu) and the more general distribution of harms and benefits. Balancing the rights and responsibilities of individuals and wider populations is becoming more complex and problematic. This book will play a key role in opening out a discussion of public health ethics. It examines the principles and values that support an ethical approach to public health practice and provides examples of some of the complex areas which those practising, analysing and planning the health of populations have to navigate. It will therefore be essential reading for current practitioners, those involved in public health research and a valuable aid for anyone interested in examining the tensions within and the development of public health.
Ethics of care: Critical advances in international perspective
by Marian Barnes Tula BrannellyOver the last 20 years there has been a flourishing of work on feminist care ethics. This collection makes a unique contribution to this body of work. The international contributors demonstrate the significance of care ethics as a transformative way of thinking across diverse geographical, policy and interpersonal contexts. From Tronto’s analysis of global responsibilities, to Fudge Schormans’ re-imagining of care from the perspective of people with learning disabilities, chapters highlight the necessity of thinking about the ethics of care to achieve justice and well-being within policies and practice. This book will be essential reading for all those seeking such outcomes.
Partnership working 2e: What is integrated care and how can we deliver it? (Better Partnership Working series)
by Jon Glasby Helen DickinsonUK health and social care are increasingly being asked to work together across traditional agency boundaries. Although this sounds easy in theory, doing it in practice is complicated and difficult. In many cases, moreover, current training programmes, research and textbooks are even more divided than front-line services, and practitioners and managers are often being given the task of making partnerships work without the necessary support. Against this background, the second edition of this bestselling book provides a concise 'warts and all' introduction to partnership and integration, summarising updated references to current policy and research, setting out useful frameworks and approaches, and helping policy makers and practitioners to work more effectively together, with greater emphasis on ‘integrated care’. Written by the leading authors in the field and fully updated since the Health and Social Care Act 2012, the book is also fully evidence- and research-based, while still being accessible and applicable to everyday practice. Aimed at students, practitioners, managers and policy makers in health and social care, and including new reflective exercises and boxed examples, this is still the one book that everyone in the field should read.
Champions for children, revised edition: The lives of modern child care pioneers
by Bob HolmanNumerous books have been written about Victorian child care pioneers, but few biographical studies have been published about more recent child care and welfare giants. In the revised edition of this classic book, Bob Holman, a champion for children in his own right, looks at the lives of six inspirational individuals who have made significant contributions to the well-being of disadvantaged children. Each of the six discussed - Eleanor Rathbone, Lady Marjory Allen, Clare Winnicott, John Stroud, Barbara Kahan and Peter Townsend - has been important in establishing present systems of child care and welfare, and in stimulating debate around issues which remain high on policy and practitioner agendas. Champions for children is essential reading for childhood and youth studies, sociology of the family, social work, social welfare, academics and students with an interest in child care and welfare issues.
Understanding health policy (Understanding Welfare: Social Issues, Policy and Practice series)
by Rob BaggottIn recent years the pace of reform in health policy and the NHS has been relentless. But how are policies formed and implemented? This fully updated edition of a bestselling book explores the processes and institutions that make health policy, examining what constitutes health policy, where power lies, and what changes could be made to improve the quality of health policy making. Drawing on original research by the author over many years, and a wide range of secondary sources, the book examines the role of various institutions in the formation and implementation of health policy. Unlike most standard texts, it considers the impact of devolution in the UK and the role of European and international institutions and fills a need for an up-to-date overview of this fast-moving area. It features new case studies to illustrate how policy has evolved and developed in recent years. This new edition has been fully updated to reflect policies under the later years of New Labour and the Coalition government. Although written particularly with the needs of students and tutors in mind, this accessible textbook will also appeal to policy makers and practitioners in the health policy field.
Measuring Behaviour: An Introductory Guide (PDF)
by Paul Martin Patrick BatesonMeasuring Behaviour has established itself as a standard text. Largely rewritten, updated and reorganised, this third edition is, as before, a guide to the principles and methods of quantitative studies of behaviour, with an emphasis on techniques of observation, recording and analysis. It provides the basic knowledge needed to measure behaviour, doing so in a succinct and easily understood form. The sections on research design and the interpretation and presentation of data have been greatly expanded. Written with brevity and clarity, Measuring Behaviour is, above all, a practical guide book. Aimed primarily at undergraduate and graduate students in biology and psychology who are about to embark upon quantitative studies of animal and human behaviour, this book provides a concise review of methodology that will be of great value to scientists of all disciplines in which behaviour is measured, including biological anthropology, the social sciences and medicine.
“Tired all the Time”: Persistent Fatigue and Healthcare
by Marie ThomasThis book explores the history, effects, diagnosis and treatment of chronic fatigue as well its significant links to other illnesses. Fatigue is a difficult symptom to accurately assess and quantify due to its subjective nature. Marie Thomas discusses the uncertainties and difficulties in its diagnosis as well as the broader effects of fatigue on quality of life. Fatigue is an increasingly reported problem in primary care, and one that is associated with other chronic conditions as a secondary symptom. Using several case studies, this book describes how in many cases, a patient’s primary condition can be managed; however General Practitioners are left unable to address the fatigue experienced, especially in older adults. Chapters consider the interventions that exist to manage fatigue – especially in the case of Chronic Fatigue Syndrome (CFS) – before highlighting the lack of strategies in primary care for dealing with the problem. In the final chapter Thomas discusses potential interventions and gives recommendations for future research regarding fatigue. This book will be of interest to academics and practitioners in healthcare and psychology, as well as to patient groups and those who care for individuals with fatigue.
“Tired all the Time”: Persistent Fatigue and Healthcare
by Marie ThomasThis book explores the history, effects, diagnosis and treatment of chronic fatigue as well its significant links to other illnesses. Fatigue is a difficult symptom to accurately assess and quantify due to its subjective nature. Marie Thomas discusses the uncertainties and difficulties in its diagnosis as well as the broader effects of fatigue on quality of life. Fatigue is an increasingly reported problem in primary care, and one that is associated with other chronic conditions as a secondary symptom. Using several case studies, this book describes how in many cases, a patient’s primary condition can be managed; however General Practitioners are left unable to address the fatigue experienced, especially in older adults. Chapters consider the interventions that exist to manage fatigue – especially in the case of Chronic Fatigue Syndrome (CFS) – before highlighting the lack of strategies in primary care for dealing with the problem. In the final chapter Thomas discusses potential interventions and gives recommendations for future research regarding fatigue. This book will be of interest to academics and practitioners in healthcare and psychology, as well as to patient groups and those who care for individuals with fatigue.
Multidisciplinary public health: Understanding the development of the modern workforce
by Jenny Wright Fiona SimIncluding the voices of key protagonists in the development of the public health workforce, this book is an important addition to the history of public health in England. It charts events leading to the unique achievement, from 2003, of specialist status, equivalent to public health medical consultants, for those from non-medical backgrounds. Setting these changes in context it discusses implications for practitioners and the wider UK public health workforce. A lively and comprehensive review of policy change, Multidisciplinary public health: Understanding the development of the modern workforce concludes with a reflection on the new public health system under way in England, making useful comparisons with the rest of the UK. This is an invaluable resource for anyone with an interest in public health, including public health academics and relevant postgraduate students.
Inequality and African-American health: How racial disparities create sickness
by Shirley A. HillThis book shows how living in a highly racialized society affects health through multiple social contexts, including neighborhoods, personal and family relationships, and the medical system. Black-white disparities in health, illness, and mortality have been widely documented, but most research has focused on single factors that produce and perpetuate those disparities, such as individual health behaviors and access to medical care. This is the first book to offer a comprehensive perspective on health and sickness among African Americans, starting with an examination of how race has been historically constructed in the US and in the medical system and the resilience of racial ideologies and practices. Racial disparities in health reflect racial inequalities in living conditions, incarceration rates, family systems, and opportunities. These racial disparities often cut across social class boundaries and have gender-specific consequences. Bringing together data from existing quantitative and qualitative research with new archival and interview data, this book advances research in the fields of families, race-ethnicity, and medical sociology.
Inequality and African-American health: How racial disparities create sickness
by Shirley A. HillThis book shows how living in a highly racialized society affects health through multiple social contexts, including neighborhoods, personal and family relationships, and the medical system. Black-white disparities in health, illness, and mortality have been widely documented, but most research has focused on single factors that produce and perpetuate those disparities, such as individual health behaviors and access to medical care. This is the first book to offer a comprehensive perspective on health and sickness among African Americans, starting with an examination of how race has been historically constructed in the US and in the medical system and the resilience of racial ideologies and practices. Racial disparities in health reflect racial inequalities in living conditions, incarceration rates, family systems, and opportunities. These racial disparities often cut across social class boundaries and have gender-specific consequences. Bringing together data from existing quantitative and qualitative research with new archival and interview data, this book advances research in the fields of families, race-ethnicity, and medical sociology.
Healthcare in transition: Understanding key ideas and tensions in contemporary health policy
by Alan CribbHealth policy thinking must change. This book explores the fundamental currents and tensions that lie behind recent trends such as shared decision-making, co-production, and personalisation. These are often discussed in relation to an epidemiological transition but this text argues that they embody a philosophical transition – a change in our conceptions of healthcare and of appropriate forms of knowledge and analysis. As clinical concerns are increasingly nested within social concerns then policy analysis must engage with the multiple philosophical tensions that are now centre stage. This focus on key underlying ideas and tensions in healthcare couldn’t have come at a better time. With international relevance, the book’s arguments help fuel a shift away from a ‘delivery’ model towards a more deliberative model of healthcare.
Healthcare in transition: Understanding key ideas and tensions in contemporary health policy
by Alan CribbHealth policy thinking must change. This book explores the fundamental currents and tensions that lie behind recent trends such as shared decision-making, co-production, and personalisation. These are often discussed in relation to an epidemiological transition but this text argues that they embody a philosophical transition – a change in our conceptions of healthcare and of appropriate forms of knowledge and analysis. As clinical concerns are increasingly nested within social concerns then policy analysis must engage with the multiple philosophical tensions that are now centre stage. This focus on key underlying ideas and tensions in healthcare couldn’t have come at a better time. With international relevance, the book’s arguments help fuel a shift away from a ‘delivery’ model towards a more deliberative model of healthcare.
Ethics of care: Critical advances in international perspective
by Marian Barnes Tula BrannellyOver the last 20 years there has been a flourishing of work on feminist care ethics. This collection makes a unique contribution to this body of work. The international contributors demonstrate the significance of care ethics as a transformative way of thinking across diverse geographical, policy and interpersonal contexts. From Tronto’s analysis of global responsibilities, to Fudge Schormans’ re-imagining of care from the perspective of people with learning disabilities, chapters highlight the necessity of thinking about the ethics of care to achieve justice and well-being within policies and practice. This book will be essential reading for all those seeking such outcomes.
The health debate 2nd edition (Policy and Politics in the Twenty-First Century (PDF))
by David J. HunterHealth care systems everywhere face multiple pressures from changing demography, the rise of non-communicable disease, the growing demand on health services, and limited resources at a time of austerity. Focusing on the British NHS from a political science perspective, this second edition of this best-selling book offers a fresh look at how it is coping with such pressures. The book explores the complexity of health policy and health services, offering a critical perspective on concerns including integrated care, the return of public health to local government and moves to devolve health services to local level. Crucially, it offers a critique of the market-style changes introduced by the Coalition government between 2010 and 2015. Students of health care and health policy, policy-makers and public health and health care professionals will find this lively and accessible reassessment of NHS reforms invaluable.
