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Modernisation, the NHS plan and health communities.

Wistow, G. (2001) 'Modernisation, the NHS plan and health communities.', Journal of management in medicine., 15 (5). pp. 334-351.


This paper reviews the NHS Plan from the perspective of the Government’s wider programme of “modernising” public services. Although broadly focussed, particularly highlights older people. Two dimensions of modernisation are identified. The NHS Plan is seen to be patient-cited – rather than citizen-centred. Argues further, that, if the economic, social and environmental causes of ill health are to be addressed more generally and if citizens are to be enabled to live in healthy, sustainable communities, planning for health services should logically be subordinate to planning for health. Health improvement plans should, therefore, be integrated within the wider community strategies for which local authorities are to have lead responsibility. Similarly, as ill health is recognised to be an important aspect of poverty, inequality and social exclusion, there is a strong case for the integration of the regional offices of the NHSE within the wider structure of regional governance. Finally, the personal social services should ensure that the values of social work and social care are not displaced by medical and nursing models which, historically, have shown little understanding of community development processes.

Item Type:Article
Keywords:Community relations, Improvement, National Health Service.
Full text:Full text not available from this repository.
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Record Created:08 Aug 2008
Last Modified:18 Mar 2014 12:34

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