David Oliver: Choosing to be honest about patient choice
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چکیده
منابع مشابه
David Oliver: Choosing to be honest about patient choice.
Henry Ford said in 1909 about his Model T car, “You can have any colour you like, so long as it’s black.” He wanted the first mass produced, no frills car to be affordable to ordinary families. They lapped it up: sales grew exponentially for 20 years. The NHS was founded with similar spirit and results. A basic, universal offer minus deluxe customised features, it was a godsend to many previous...
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The parliamentary act that led to the NHS’s creation set out what the public could expect—a universal service based on need, free at the point of delivery. Since then, the government has repeatedly set out standards that the public should expect. We had John Major’s “patient’s charter,” then NHS standards for four hours in emergency departments or two weeks for investigation of suspected cancer...
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In December I was on a conference panel discussing “How to save the NHS.” I said that we needed to be far more honest with the public and realistic about what the service can currently offer, given unprecedented demand, unfilled posts, and a widening gap in funding. We must make it clear to patients, I said, that they will often face longer waits in GP surgeries, emergency departments, and hosp...
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In his recent speech to the Conservative Party conference the health secretary, Jeremy Hunt, used statistics enthusiastically. I counted at least 27 times that he mentioned numerical data. And he made several more assertions about numbers, such as, “Safer care doesn’t cost more; it costs less.” Not bad for a speech of 23 minutes. He used statistics to take credit on behalf of his government for...
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In July, Fiona Godlee asked whether we were ready for collaborative care, highlighting an essay by a US author, Michael Millenson, that elegantly argued for moving beyond “person centred” healthcare to collaborative approaches. UK public health services have their own advocates in this movement—notably, the Royal College of General Practitioners, the Coalition for Collaborative Care, and NHS En...
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ژورنال
عنوان ژورنال: BMJ
سال: 2017
ISSN: 0959-8138,1756-1833
DOI: 10.1136/bmj.j1829