Failures in health and social care : governance and culture change / Neil Small.

Format:

Book

Author/Creator:

Small, Neil, author.

Language:

English

Subjects (All):

Great Britain. National Health Service.

Great Britain.

National health services--Great Britain.

National health services.

Medical care--Great Britain.

Medical care.

Medical policy--Great Britain.

Medical policy.

Physical Description:

1 online resource (219 pages)

Place of Publication:

[S.l.] : Routledge , 2023.

Biography/History:

Neil Small is Professor Emeritus of Health Research at the University of Bradford, UK and is a Fellow of the Academy of Social Sciences.

Summary:

"This thought-provoking book examines breakdowns in the quality of health and social care over the past decade, exploring governance failures and the challenges of achieving lasting change. This book engages with how to improve quality of care in the NHS and welfare systems more generally. Its case examples are from the UK but the issues of governance, culture change and shifts in the social contract that failures illuminate have an international relevance. It is important reading for those with an interest in health, social care, political science, and sociology"-- Provided by publisher.

Contents:

<P>Contents</P><P></P><P>Acknowledgments</P><P></P><P>Preface</P><P></P><P>Chapter One</P><P>Introduction</P><I><P>The presenting problem</P><P>More detail about the argument to be made (and some underlying assumptions.)</P><P>Plan of the Book.</P></I><P></P><P>Chapter Two: Mid Staffordshire, the Francis Report and its aftermath </P><I><P>Introduction.</P><P>The picture emerges.</P><P>The Francis Reports.</P><P>What had caused the "scandalous decline in standards"?</P><P>A profusion of reports

broadening the scope of concerns beyond Stafford and considering how things might change.</P><P>Culture change.</P><P>Governance

the role of individuals and of external scrutiny</P><P>The response.</P><P>The state of the NHS at the time of the Francis Report</P><P>Conclusions.</P></I><P></P><P>Chapter Three: The fall of the Liverpool Care Pathway and the challenges of end-of-life care.</P><I><P>Introduction</P><P>Criticisms of the Liverpool Care Pathway.</P><P>What problems were there in end-of-life care?</P><P>The governance of end-of-life care.</P><P>Protocols, guidelines and guidance.</P><P>Cultures of care and the challenge of change.</P><P>Progress made in implementing change in the short term</P><P>Conclusions </P></I><P></P><P>Chapter Four: Are problems new and are they widespread? </P><I><P>Introduction</P><P>Is history repeating itself? Inquiries are a form of palimpsest.</P><P>Learning disability.</P><P>Widespread problems and resistance to change.</P><P>Care of older people outside the NHS</P><P>Care of vulnerable children.</P><P>Continued failings in the care of children.</P><P>Private sector provision in childcare.</P><P>Trust, the social contract and sexual abuse</P><P>Conclusions. </P><P></P></I><P>Chapter Five: How the NHS and social care change and why they often don't. </P><I><P>Introduction</P><P>How failures come to wider attention</P><P>Routes to prevent and rectify failures from established structures and procedures: anticipatory governance.</P><P>Changing culture(s)</P><P>It's the money.</P><P>Conclusions</I>.</P><I><P></P></I><P>Chapter Six: Conclusions. </P><I><P>Considering change in the NHS</P><P>Why is it difficult to ensure effective governance and to change culture? </P><P>Culture</P><P>Summary</P><P></P></I><P>Afterword: "good" care in (sometimes) "bad" institutions.</P><I><P></P></I><P>References</P>

Notes:

Title from online title page (viewed on Oct 4, 2023).

Includes bibliographical references.

Other Format:

Print version:

ISBN:

9781000900279

1000900274

9781003332428

1003332420

9781000900309

1000900304

OCLC:

1378430027

Access Restriction:

Restricted for use by site license.