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Brendan Kennelly

10 The economics of mental health services Brendan Kennelly Introduction Mental health services include a broad range of services, from home and ­community-based facilities such as day hospitals and out-patient facilities, to acute care units and residential care services. This chapter presents a broad overview of key economic issues facing the provision of such services in Ireland. The key issues that are addressed include: (a) the nature and extent of mental illnesses in Ireland; (b) the resources spent on care provided to people with mental illnesses; and (c

in The economics of disability
Social surveys and activist feelings
Jennifer Crane

Beyond its seventieth year, Britons are repeatedly told in culture, politics, and media that the National Health Service (NHS) is loved and important, yet under threat. 1 What does it mean when we say that we ‘love’ the NHS? How do different public groups ascribe meaning to this service? When do feelings about the NHS, such as love or fear, turn to action, such as protest or changing patterns of usage? Understanding these questions helps us to think through a cultural history of the NHS, bound up with

in Posters, protests, and prescriptions
Martin Gorsky, John Mohan, and Tim Willis

Chapter 8 The contributory schemes and the coming of the National Health Service Reflecting on the BHCSA’s efforts to influence the NHS policy debates, its first historian concluded that: ‘it can certainly never be said that … the Association failed for lack of trying’.1 This chapter reassesses this verdict, through an exploration of the responses of both the BHCSA and individual schemes to plans for the new health service. Its premise is that the shape of the NHS was the outcome of a process of discussion within a policy community of politicians, civil servants

in Mutualism and health care
Martin D. Moore

from badly fitting doors and windows.’ In their place ‘will be well-decorated, warm and spacious rooms with plenty of seating’. 1 The campaign reflected a growing concern with general practice premises in the early years of the National Health Service (NHS), with waiting-room accommodation attracting particular attention. Over the late 1940s and early 1950s, GPs’ surgeries provided a subject for newspaper correspondence and reports, social surveys, investigation by medical professionals, and even parliamentary

in Posters, protests, and prescriptions
Angela Whitecross

of ten poems representing each location within the trust. ‘Wings’ is particularly germane to this chapter, as it creates a sense of how South Bristol Community Hospital is a place with history and meaning beyond the National Health Service (NHS), interwoven into both individual and collective memory. ‘NHS at 70’ began creating a shared history of the NHS in 2017 by recording experiences from staff and patients across the four nations of the UK and since March 2020 has focused on the NHS and COVID-19. 3 An

in Posters, protests, and prescriptions
Mathew Thomson

to feel that something important is missing from these accounts when it comes to colour, feeling, and meaning. There are different routes available if we want to address this. One is to turn to the social history of experience, an approach taken by Saunders, Crane, and Whitecross in this book. Another, and that which forms the focus of this chapter, is to examine how the welfare state, and here in particular the National Health Service (NHS), was represented. If we look sideways to the story of the ‘warfare state’ we

in Posters, protests, and prescriptions
Roberta Bivins

history of responses to and projections of the National Health Service (NHS) add to our understandings? Here I will show that attending to popular culture in particular allows us to identify and explore the deliberately constructed and meticulously curated meanings of Britain’s NHS for domestic and international audiences at the heart of key debates during the Cold War. At the same time, close scrutiny of popular culture reveals that many of the cultural tropes currently dominating America’s idiosyncratic opposition to

in Posters, protests, and prescriptions
Bulletin of the John Rylands Library

This handbook is written for patients and members of the public who want to understand more about the approaches, methods and language used by health-services researchers. Patient and public involvement (PPI) in research is now a requirement of most major health-research programmes, and this book is designed to equip these individuals with the knowledge and skills necessary for meaningful participation. Edited by award-winning mental-health researchers, the book has been produced in partnership with mental-health-service users and carers with experience of research involvement. It includes personal reflections from these individuals alongside detailed information on quantitative, qualitative and health-economics research methods, and comprehensively covers all the basics needed for large-scale health research projects: systematic reviews; research design and analysis using both qualitative and quantitative approaches; health economics; research ethics; impact and dissemination. This book was developed during a five-year research programme funded by the UK’s National Institute for Health Research (NIHR) called Enhancing the Quality of User Involved Care Planning in Mental Health Services (EQUIP). The handbook clearly outlines research practices, and gives an insight into how public and patient representatives can be involved in them and shape decisions. Each chapter ends with a reflective exercise, and there are also some suggested sources of additional reading. People who get involved in health research as experts from experience now have a textbook to support their research involvement journey.

Open Access (free)
Lachlan McIver, Maria Guevara, and Gabriel Alcoba

The COVID-19 pandemic has exposed multiple fault lines in the performances of health services at every level – from community to national to global – in ensuring universal, equitable access to preventive and curative care. Tragically, this has been to the detriment of those who have suffered and died not only from COVID-19, but also from the myriad other ailments affecting people around the world. Of those, we wish to highlight here some key categories of diseases that have caused a greater

Journal of Humanitarian Affairs