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Also Recommended
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Avoiding a Medical Meltdown
Richard Barker
£16.99
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24 hours to save the NHS
The Chief Executive's account of reform 2000 to 2006
Nigel Crisp
248 pages
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Black and white line drawings
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234x156mm
978-0-19-963995-3
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Paperback
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15 September 2011
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- Tells the inside story of the NHS from 2000 to 2006 from a unique perspective
- Charts the impacts of the last reforms to take place in the NHS, and serves as a benchmark for the current discussions and proposed changes
- Written by the former Chief Executive of the NHS
"24 hours to save the NHS". It was a political slogan but it hid a deeper question. Could the NHS survive? Could it continue to offer free health care for every citizen regardless of their ability to pay? Could the extraordinary, liberating ambition and dream of its founders 50 years before be maintained in the 21st Century - that everyone, no matter how poor or ill, should be freed from worrying about how to pay for their health care.
By 2000 the NHS was in decline with falling standards and failing public support. Its supporters were beginning to question its viability, whilst its enemies were eager to catalogue its faults.
Five years later we had an answer. Radical change and investment meant that the NHS had survived. Standards were improving and the NHS was expanding. Proof came from outside. Public satisfaction doubled and fewer people opted for private healthcare. Most tellingly, all the major political parties went into the 2010 general election committed to the NHS and to helping it develop and prosper.
Today the question has changed. The NHS has survived but can it become sustainable at a time of austerity and as demand for its services grows? 24 hours to save the NHS shows what we can learn from the past, and describes what more we need to do to innovate for the future.
It is the inside story of the last reforms written by the man charged with
implementing them, and who was given unprecedented authority as both Chief Executive of the NHS and Permanent Secretary of the Department of Health. A very practical book - it describes the successes and failures as well as the pressures and the difficulties of making improvements in the fourth biggest organization in the world which employs 1.3 million people and spends £100 billion a year.
It will be of interest to the general reader, health workers, policy makers, academics and students alike.Readership: NHS staff and UK policy makers; Policy makers and politicians in other countries and global institutions contemplating or undertaking reform; Students, researchers and academics in health
and social policy
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Nigel Crisp, Independent Crossbench Member of the House of Lords; Distinguished Visiting Fellow at Harvard School of Public Health, Boston, USA; Senior Fellow, Institute for Healthcare Improvement; and Honorary Professor at the London School of Hygiene and Tropical Medicine, UK Nigel Crisp's earlier book 'Turning the world upside down - the search for global health in the 21st Century' takes further the ideas about mutual learning between rich and poor countries that he developed in his 2007 report for the Prime Minister Global Health Partnerships.
Nigel Crisp is an independent crossbench member of the House of Lords where he speaks mainly on global health and international development. He is a member of a number of international organisations and global task forces.
He was Chief Executive of the English NHS - the largest health organisation in the world with 1.3 million employees - and Permanent Secretary of the UK Department of Health and led major reforms and improvements in the whole system between 2000 and 2006. Previously he had been Chief Executive of the Oxford Radcliffe Hospital NHS Trust, one of the UK's leading academic medical centres.
For further information see nigelcrisp.com
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" 24 Hours to Save the NHS is a must-read for people working in the NHS and its critics.... And more importantly it leaves us with a compelling vision for the future." - Health Service Journal "This book comes at a critical moment in the history of the NHS. It is essential reading for politicians, policymakers, professionals, and the public - Richard Horton, Editor, The Lancet" "Crisp navigates clearly through the policy and the politics, and in its structure (the main points are boxed at the end ofeach chapter) and style, this resembles a textbook. If the present government does indeed care about health care - and wants to avoid a series of budget-busting hospital bailouts - its commitment should be to services, not
facilities. It cannot afford to ignore Crisp's advice, and there is no time to lose." "Crisps real achievement was in securing more NHS funding and making the health system in general look respectable again and one can only believe the stories he recalls of impressed patients approaching him to ask the way out of the private patients departments, only to find, to their surprise, that they were in NHS patients departments all along. It is purely a reflection, a personal account. Yet the author does not leave out criticisms of himself or his own work, and takes care to show how he learned from these. This is the book of a proud man, and that is no bad thing at all, because he knows as we all do that the NHS is treasured." - LSE Blog "This insightful text
is well structured and readable. It highlights important lessons that were learned from these years, including that private insurance is not the solution for some of the NHS gaps, and the need to focus more on areas such as health promotion and patient engagement." - Nursing Standard
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Preface
1: 24 hours to save the NHS
2: The national and global context
3: The NHS Plan - overview of the story
4: Service improvement and delivery
5: System reform
6: The NHS workforce
7: Knowledge, science and technology
8: Finance and productivity
9: Leadership
10: Patients, health and society
11: Conclusions and key points
12: The future of the NHS in England
13: Reforming and strengthening health systems around the world
14: The global challenge
Appendix 1. Glossary of terms
Appendix 2. NHS structure
Appendix 3. Time line
Appendix 4. <"Must do>" targets in the NHS Plan
Index
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The specification in this catalogue, including without limitation price, format, extent, number of illustrations, and month of publication, was as accurate as possible at the time the catalogue was compiled. Occasionally, due to the nature of some contractual restrictions, we are unable to ship a specific product to a particular territory. Jacket images are provisional and liable to change before publication.
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