Law, Legitimacy and the Rationing of Healthcare

Syrett, Keith

doi:10.1017/cbo9780511495380

Cited by 49 publications

(15 citation statements)

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“…Moreover, although the nature of drug requests may be changing and the balance between drug and non-drug requests shifting, the overall flow of cases considered by panels continues to be high in both countries (Iacobucci, 2017;Routledge, 2017). Syrett (2007) argues that over time responsibility for allocating healthcare resources has moved away from individual clinicians to groups of professionals and managers. He writes of the emergence of "normative and technical criteria" and the creation of procedures and institutions to manage allocative decisions.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Doing evidence-based medicine? How NHS managers ration high-cost drugs

Hughes

Doheny

2019

Social Science & Medicine

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Section: Accepted Manuscriptmentioning

confidence: 99%

Doing evidence-based medicine? How NHS managers ration high-cost drugs

Hughes

Doheny

2019

Social Science & Medicine

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“…Because of improved medical technology and an aging population, this has become one of the most pressing issues for many contemporary welfare states. Today the key topic is not whether healthcare is, or should be, rationed, but how it is rationed, and – most importantly – how it should be rationed in a way that is publicly acceptable (Syrett, 2007: 44).…”

Section: An Experimental Testmentioning

confidence: 99%

Transparency actually: how transparency affects public perceptions of political decision-making

Licht

2013

Eur. Pol. Sci. Rev.

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Building on a widely held account of transparency as integral to legitimate and successful governance, this article addresses the question of how transparency in decision-making can influence public perceptions of political decision-making. An original experiment with 1099 participants shows that people who perceive political decision-making to be transparent judge the degree of procedural fairness highly and are more willing to accept the final decision. Perceptions of transparency are, however, largely shaped by transparency cues (e.g. statements provided by external sources) rather than by the degree of actual transparency, and no direct effect of actual transparency can be found on decision acceptance. The implication is that it is difficult to influence people's acceptance of political decisions by means of transparency reforms, as people base their assessments of political decisions largely on considerations other than evalutations of actual decision-making procedures.

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“…This entails the court examining the justifications put forward by the decision maker for favouring one interest over another, in order to consider whether the interference with the disfavoured interest has or has not been disproportionate (Syrett, 2007). This approach shows how far the upholding of a holistic rather then narrow interpretation of educational benefit mentioned above in K v. London Borough of Hillingdon represents a triumph for IPSEA and a hopeful sign for children with SEN and their families.…”

Section: Parent Threementioning

confidence: 99%

Supporting aspirations – or not? Recent reforms on equality, the green paper on Special Educational Needs and the potential of a neurodiversity spectrum statement

Mackenzie

Watts

Howe

2012

Tizard Learning Disability Review

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Purpose -The purpose of this paper is to apply critical legal analysis to laws, policies and reforms focused on special educational needs (SEN) and equality in England and to suggest a Neurodiversity spectrum statement.Design/methodology/approach -The paper reviews current legal and policy initiatives in SEN, together with recent reforms in equality law.Findings -While past and current policies may have laudable aims, tensions such as a lack of integration of education, health and social services have had prejudicial outcomes for children with SEN, their families/carers, and the professionals involved.Originality/value -Legal reforms promise to remedy some problems, but must be underpinned by adequate resourcing, appeal procedures, and remedies which foster the enforcement of legal duties. Some resources for families with children with SEN are noted.

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Law, Legitimacy and the Rationing of Healthcare

Cited by 49 publications

References 0 publications

Doing evidence-based medicine? How NHS managers ration high-cost drugs

Doing evidence-based medicine? How NHS managers ration high-cost drugs

Transparency actually: how transparency affects public perceptions of political decision-making

Supporting aspirations – or not? Recent reforms on equality, the green paper on Special Educational Needs and the potential of a neurodiversity spectrum statement

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