Abstract only
Alex Mold

Introduction Since the 1960s, patients in Britain have been made into consumers. Consumerist concepts have found a place in health policy and practice. Ideas like autonomy; collective and individual representation; the ability to make a complaint; rights; the provision of information; voice and choice are now central to the National Health Service (NHS) and the demands patients make of it. Over a few decades, the position of patients in Britain appears to have changed fundamentally. During the early 1960s, for example, it was not uncommon for patients to be told

in Making the patient-consumer
Abstract only
Ruth Holliday, Meredith Jones and David Bell

 1.1a Jason straight after surgery. Surgeons say results look best ‘on the table’ 1.1b Jason’s complication – a ‘little bleed’ and ruptured stitches 1.1c Jason’s infection needed vacuum pump treatment in an NHS facility 1.1d Jason’s final result, front 1.1e Jason’s final result, side 1.2 Neil (UK to Czech Republic and Poland) demonstrating what he called his ‘mushroom’ after weight-loss surgery but before body contouring HOLLIDAY PLATES (Colour).indd 1 18/04/2019 11:43 1.3  A bedside table in a Tunisian clinic 1.4a  Durian street-seller in front of a

in Beautyscapes
Martin D. Moore

Projects like the SMD-funded retinopathy screening trials reflected the British state's growing engagement with diabetes during the 1980s. In that specific instance, the DHSS's hopes for generating organisational guidance for the NHS were disappointed. Central state interest in diabetes management, however, remained undimmed, and much more extensive standards for diabetes care would be produced by the new millennium. The work of elite practitioners and specialists proved integral to maintaining state interest in both

in Managing diabetes, managing medicine
Open Access (free)
Managing diabetes, managing medicine
Martin D. Moore

In April 1990, the Conservative government issued a new contract to general practitioners (GPs) working within the British National Health Service (NHS). The negotiations around the contract had been troubling for GPs. Whilst not the sole point of dispute, many practitioners found novel performance-related pay provisions to be particularly unwelcome departures from previous arrangements. Despite gaining concessions, GPs rejected multiple offers until a frustrated administration decided to simply impose the contract. 1 So far as remuneration

in Managing diabetes, managing medicine
The Emergency Hospital Services in Second World War Northern Ireland
Seán Lucey

Emergency Medical Services – and allied services including medical services, a casualty bureau, blood transfusion and pathological service. This wartime reorganisation of health services has been viewed as vital to paving the way for the universal, centralist and free-at-the-point-of-contact National Health Service (NHS) that came into effect in 1948, and for specifically providing

in Medicine, health and Irish experiences of conflict 1914–45
The medical Left and the lessons of science, 1918–48
John Stewart

10 ‘Man against disease’: the medical Left and the lessons of science, 1918–48 John Stewart This chapter examines the ideas and aspirations of left-wing doctors and medical scientists from the end of the First World War to the inauguration of the National Health Service (NHS) in 1948. There were four underlying premises to these medical politicians’ social and political analyses. First, scientific and medical practice provided a model for social organisation. Doctors and medical scientists, it was argued, worked collaboratively and irrespective of national

in Scientific governance in Britain, 1914–79
The working lives of paid carers from 1800 to the 1990s
Anne Borsay and Pamela Dale

took precedence over meeting the needs of local people requiring mental health services.41 Unfortunately, they had little to say about how nurses adapted to the possibilities and constraints embodied in this new facility, but at the Maudsley, and elsewhere, the contested introduction of new physical therapies impacted on both the daily work and career prospects of mental nurses before and after the creation of the National Health Service (NHS). The increasing resort to physical therapies, such as insulin coma or ECT, from the 1930s is associated with a requirement

in Mental health nursing
Andrew S. Crines

record of his opponents on economic management by saying they represented groups and policies that not only undermine economic growth but subvert the values he articulated. He also critiqued his opponents’ ideological adherence to privatisation and the model of competition, saying ‘here’s what I hate most of all. It’s that the whole way they designed this NHS reorganisation was based on the model of competition that there was in the privatised utility industry, gas, energy and water’ (Miliband, 2012). In fact, he goes on to blame such interest groups for the flaws in

in Labour orators from Bevan to Miliband
Abstract only
Helena Ifill

6 See, for example, Amanda Platell, ‘Sorry, why should the NHS treat people for being fat?’, Daily Mail Online (27 February 2009), www.dailymail.co.uk/​ debate/​article-​1156678/​AMANDA-​PLATELL-​Sorry-​NHS-​treat-​people-​ fat.html (accessed 18 September 2016). 7 See, for example, ‘UN panel warns against “designer babies” and eugenics in “editing” of human DNA’, UN News Centre (5 October 2015), www. un.org/​apps/​news/​story.asp?NewsID=52172#.WAnLMSTtX20, (accessed 21 October 2016). 215

in Creating character
Modernisation abandoned
Peter Dorey

or more value-for-money than their rivals. The National Health Service (NHS) One of the most controversial public sector reforms enacted by the Conservative led-Coalition was symbolised by the 2012 Health and Social Care Act, which replaced ten strategic health authorities and 152 Primary Care Trusts (PCTs) with consortia of general practitioners (GPs) or clinical commissioning groups. The intention was to enable these consortia and groups to commission care packages directly for their patients or local populations, rather than having to negotiate with the PCTs

in David Cameron and Conservative renewal