Health systems

Question 1

What is neoliberalism?

Answer 1

The political mindset. A belief in a free-market, little regulation, low taxation.
Benefits businesses globally. Forced privatisation using IMF.
IMF - give loans to poor countries (they have to comply. Can lead to wars). Exploitation of poor countries.

Question 2

What were the changes in the health and social care act?

Answer 2

Decentralisation (Gp have to purchase care from hospitals)

Consumerism (choice)

Managerialism (targets and indicators)

Outsourcing/tendering of clinical services

Question 3

How does inequality impact public health?

Answer 3

Less social mobility means,poor stay poor. More at risk of depression, smoking etc and ill health

Question 4

Who controls much of the NHS expenditure?

Answer 4

Community commissioning groups (CCGs) made up of GPs, nurses, public and advisors.

It used to be the primary care trusts

Question 5

How was healthcare funded before the NHS?

Answer 5

National insurance from pay

Didnt benifits children, house wives or the elderly

Question 6

How did the NHS come about?

Answer 6

WW2, government became labour - beveridges vision (cradle to grave, all pay all benefit, free at the point of delivery)

Politician bevan - drives against people who are worried about care for all (rich and private doctors)

Question 7

How is the NHS changing now?

Answer 7

Health and social care act 2012 - abolished the NHS. Removed social care contract from 1948.

Direction towards privatisation.
Reduced services available
Fees for lower clinical priority services
Personal private medical insurance

Question 8

What are sustainability and transformation plans?

Answer 8

Re-organisation of services