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Policies and new reforms to address the of the National Health Service and adult social care in England

Abstract:

Purpose: In this chapter, we examine the National Health Service (NHS) and Adult Social Care (ASC) in England, focussing on policies that have been introduced since 2000 and considering the challenges that providers face in their quest to provide a high standard and affordable health service in the near future.

Methodology/Approach: We discuss recent policy developments and published analysis covering innovations within major aspects of health care (primary, secondary and tertiary) and ASC, before considering future challenges faced by providers in England, highlighted by a 2017 UK Parliament Select Committee.

Findings: The NHS and ASC system have experienced tightening budgets and serious financial pressure, with historically low real-terms growth in health funding from central government and local authorities. Policymakers have tried to overcome these challenges with several policy innovations, but many still remain. With large-scale investment and reform, there is potential for the health and social care system to evolve into a modern service capable of dealing with the needs of an ageing population. However, if these challenges are not met, then it is set to continue struggling with a lack of appropriate facilities, an overstretched staff and a system not entirely appropriate for its patients.

Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1108/S0573-855520210000295008

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author

Contributors

Role:
Editor
Role:
Editor


Publisher:
Emerald Publishing
Host title:
The Sustainability of Health Care Systems in Europe
Volume:
294
Pages:
43-60
Chapter number:
3
Publication date:
2021-03-22
DOI:
ISSN:
0573-8555
EISBN:
978-1-83909-498-9
ISBN-10:
1839095008
ISBN-13:
978-1-83909-499-6


Language:
English
Keywords:
Subtype:
Chapter
Pubs id:
1169221
Local pid:
pubs:1169221
Deposit date:
2021-03-24

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