NHS is picking up the pieces as social safety nets fail

Rajan, Selina; McKee, Martin

doi:10.1136/bmj.l2360

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…43,44 Nevertheless, it has been argued that the NHS often 'picks up the pieces' when other parts of the social safety net fail. 45 The NHS is funded through general taxation, which is generally progressive. Resources are also distributed using a needs-based resource allocation formula, which reflects deprivation.…”

Section: Health Spending Societal Welfare and Inequalitymentioning

confidence: 99%

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What is the right level of spending needed for health and care in the UK?

et al. 2021

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Section: Health Spending Societal Welfare and Inequalitymentioning

confidence: 99%

“… 42 , 43 Nevertheless, it has been argued that the NHS often compensates when other parts of the social safety net fail. 44 …”

Section: Health Spending Societal Welfare and Inequalitymentioning

confidence: 99%

What is the right level of spending needed for health and care in the UK?

et al. 2021

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“…In this chapter we consider integrated care (also called 'streamlined', 'seamless', 'coordinated' and 'joined up' care) across care settings, services, specialities or systems. Care integration is a recurrent policy ambition, attempting to address discontinuities and fragmentation in caring systems (Coleman 2003;Rajan & McKee 2019). Various policy documents that intend to shape, structure, or influence care systems-White Papers, five-year plans and other authoritative, instrumental reports-speak of the need for integrated services; but we understand little about how integration is achieved via policy, in contrast to how it is achieved on the frontlines of the system.…”

Section: Introductionmentioning

confidence: 99%

Policy Delusions and Dutiful Daughters: Imagined Versus Real Care Integration for Older People

Ludlow

Bridges

Pope

et al. 2021

Managing Healthcare Organisations in Challenging Policy Contexts

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Policymakers advocate for integrated care as a solution to care fragmentation. In the case of older adults, informal carers (especially 'dutiful daughters') play a significant role in integrating and coordinating care. Ludlow and colleagues examine how the role of informal carers in integrating care across services and systems is reflected in policy (the blunt-end of the system) and the experiences of dutiful daughters (the sharp-end) in England and Australia. They present the findings from content analysis of key policy documents, as well as four case accounts of dutiful daughters. The authors found that unpaid carers, and the gender imbalance of caregiving, were largely invisible in the policy documents, accentuating the disconnect between policymakers' vision for integrated care and the accomplishment of integration on the ground. The role of family members in caregiving and care integrationFamily members 'bridge the gaps' in care when older person's care needs are unmet (Ludlow et al. 2020b;Puurveen et al. 2018). Bookman and Harrington (2007) referred to family caregivers as the 'shadow workforce', providing care in the home, healthcare institutions and the community, whilst being untrained, unpaid, and unrecognised members of the care workforce. They interviewed 50 US family caregivers, two-thirds of whom were women. Families spoke about inadequate coordination and

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NHS is picking up the pieces as social safety nets fail

Abstract: Health professionals have a duty to speak out

Cited by 2 publications

References 7 publications

What is the right level of spending needed for health and care in the UK?

What is the right level of spending needed for health and care in the UK?

Policy Delusions and Dutiful Daughters: Imagined Versus Real Care Integration for Older People

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