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This unusual, witty, satirical, pseudonymous, controversial and very pointed work gathers together the 50 episodes which were originally published on the famous and widely-read nhsManagers.net eletter run by Roy Lilley, which has some 30,000 subscribers here and abroad. Both the author, and Mr. Lilley - who are not one and the same - have been Chairs of NHS Trusts and advisers to government. Mr. Romford dramatizes the current issues and problems of British healthcare - and points out some radical and innovative solutions. The author holds up a mirror to the NHS and public service, its foibles and peculiarities. He shines a light into the dark recesses and makes us think, entertains us, pokes fun and encourages us to do better. His characters are a delight and his stories grasp the issues of the day and sets them out in a new light.
A new paperback edition of the well-known study by the leading international expert on wealth formation and the wealthy in the 19th and 20th centuries in Britain. It is the first book by a historian to analyse who were the very rich. Until very recently surprisingly little was known on this beyond anecdotes and stereotypical impressions. The revelatory study is largely based on a detailed, comprehensive analysis of the probate records of wealth at death, and on income tax and other objective sources. From these has been built up a full picture of the occupations, social origins and career patterns of the very rich in Britain since the early 19th century. The study includes both businessmen and great landowners. This edition also includes chapters on the wealthy in Britain in the more recent period 1940-80.
The critical challenges to the British NHS are the consequences of us all living longer, having to manage chronic conditions over time, expecting and demanding more, and being denied many innovative new drugs (notably, for cancer) which cannot be afforded at present by the too narrowly funded NHS. This needs to be changed, in line with more successful funding systems in Europe, Australia, and the Far East, where outcomes are much better than in the UK. This radical new book offers economic solutions based on direct financial incentives to the individual to care for themselves better, to save and invest in future funding, for a much broader funding base including the greater use of insurance, and to ask government to re-appraise the system urgently. It will be controversial, and will spark lively new debate, as well as serving as a student text for courses concerned with healthcare, and clinical practise. This new book follows Professor Spiers' several successful previously published commentaries on the NHS and public policy, including Who Decides Who Decides? Enabling choice, equity, access, improved performance and patient guaranteed care, published by Radcliffe Medical Press.
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