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Welfare Reform on the Web (May 2012): National Health Service - primary and community care

Policy success in public health: the case of public health in England

R. Baggott

Journal of Social Policy, vol. 41, 2012, p. 391-408

This article explores public health policies in England over the past two decades and focuses on how judgements can be made about their success or failure. It concludes that recent governments in England have achieved only 'precarious success', in McConnell's typology. It demonstrates that success or failure is not simply about the impact of policy on outcomes but must include the appraisal of policy processes and the political context. The second key issue is 'success for whom?' Despite the common good principles of public health, the adversarial nature of public health policy must be acknowledged. Finally, it shows that public health strategies and policies are related to wider issues about the competence, trustworthiness and accountability of government. They therefore have wider political implications.

Poor patients face shorter GP opening hours

C. Santry

Health Service Journal, Apr. 12th 2012, p. 4-5

Figures from more than 3,000 GP practices across 60 primary care trusts show that the number of practices offering extended hours as an enhanced service dropped by 7% between 2010/11 and 2011/12. Provision fell by 11% on average across the ten most deprived trusts in the sample, compared 2% in the ten richest trusts.

A research guide to CCG management

G. Meads and others

British Journal of Healthcare Management, vol.18, 2012, p. 198-201

For managers of Clinical Commissioning Groups seeking empirical sources of information on which to base their practice, the NIHR Health Service and Delivery Research programme is offering nine relevant new reports. The subjects of these reports range from joint commissioning and health system governance to service improvement targets arising from diversity, public health and long term conditions. This article offers a practical guide to identifying sound evidence and transferable learning, with some illustrations from the NIHR portfolio. This portfolio bears witness to the value of a 'needs led science added' approach, especially for health managers seeking a fit between research findings and their individual contexts.

Time to believe in local freedom

J. Rooke

Health Service Journal, Apr. 19th 2012, p. 24-25

The author argues that the current NHS reforms are giving clinical commissioning groups freedom to redesign local services. He goes on to discuss how Bedfordshire CCG is taking advantage of the opportunity, although many in the NHS are sceptical and are waiting for the Commissioning Board to tell them what to do.

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