Privatising the NHS: dentistry paves the way

Shepherd, Jonathan; Thomas, David W.; Shepherd, Paul

doi:10.1136/bmj.312.7036.922

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…In countries with universal health care systems, supposedly provided free at the point of access, such as the UK and Scandinavia, there are constant policy battles to maintain both universality and equity. For example, in the UK, dental care has been privatized by stealth, with substantial proportions of the population unable to access an NHS dentist, and other much needed services (such as eye care, chiropody and physiotherapy) are also rationed by lack of supply and often by charging systems, even when provided by the state health care system (Shepherd et al, 1996). Age-based discrimination is built into health care decision making by the widespread use of the notion of qualityadjusted life years, such as in the approval of prescription medicines.…”

Section: Securing Equitable Access To Treatment and Carementioning

confidence: 99%

Tackling Inequalities in Health: A Global Challenge for Social Work

Bywaters¹

2007

British Journal of Social Work

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SummaryThis paper presents arguments for recognizing and tackling health inequalities as a major new challenge for social work. Four underpinning points provide the building blocks for this case, that health inequalities are a matter of social justice and human rights, that the causes of health inequalities are primarily social, that poverty and poor health are common characteristics of social work service users and, that, therefore, health inequalities are a vital issue for social workers in all settings. A number of implications for social work practice and policy are outlined. The paper concludes that addressing health inequalities implies that social work has to become more actively engaged with critical global social, economic, environmental and political issues.

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Section: Securing Equitable Access To Treatment and Carementioning

confidence: 99%

Tackling Inequalities in Health: A Global Challenge for Social Work

Bywaters¹

2007

British Journal of Social Work

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“…Shepherd et al . () claim that dentistry paves the way for privatizing the NHS, as strict curbs on NHS spending on dentistry led to patients' co‐payments increasing steadily and to a rapid expansion of the private market. They point out that non‐exempt patients contribute 80 per cent of the cost up to a maximum of £300 for each course of treatment, and that demand for treatment of minor irregularities of teeth is influenced solely by ability and willingness to pay.…”

Section: Period 2: Conservatives (1979–97)mentioning

confidence: 99%

Seventy Years of Privatizing the British National Health Service?

Powell

Miller

2015

Soc Policy Adm

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The existence of different and conflicting definitions and different types, but few clear measures, of privatization has contributed to different interpretations of the extent of privatization in the almost 70-year history of the British National Health Service (NHS). This article aims to examine the extent of privatization in the NHS over successive policy chronologies through the lens of the 'three dimensional' approach of the Mixed Economy of Welfare. We find that whilst privatization in the NHS is not new, the generally accepted view that it has increased in recent years appears valid, although precision is difficult due to the lack of a generally accepted typology or measure.

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Paul Shepherd

JPS¹

2010

Br Dent J

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Privatising the NHS: dentistry paves the way

Cited by 3 publications

References 5 publications

Tackling Inequalities in Health: A Global Challenge for Social Work

Tackling Inequalities in Health: A Global Challenge for Social Work

Seventy Years of Privatizing the British National Health Service?

Paul Shepherd

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