Sections of dissertation requested listed below:
Title: Can Nationalised Healthcare in the UK Successfuly Continue in the 21st Century?
Introduction
Literature Review
Chapter 1:
? Provide a historical perspective of NHS : with perspectives (several listed below) on why each plan/reform has been unsuccessful (do not include the 2000 plan)
o NHS lacked flexibility, incentives for efficiency, financial information (thus accountability) and patient choice of providers for secondary care.
o NHS has been a political pawn for the Central Government since it?s inception (the NHS is the most centralized healthcare system in the OCED area)
o NHS has been and is still financed mainly by direct taxation and not by the National Insurance contributions, which cannot even finance Social Security let alone healthcare. Demand has surpassed available resources since it?s inception. Provide data on Total Health expenditure as percentage of trend GDP and Growth rates of per capita healthexpenditure
(History is disastrous. Policy drivers have been short term and political)
Chapter 2:
? Summary of 2000 NHS plan
? Current and future UK healthcare needs.
? Is this plan currently meeting those needs.
(Plan has no strategic direction. It is operationally and strategically inefficient. Resource allocation is created by politics and not by community needs)
Chapter 3:
? Review of three other nationalized healthcare systems: Canada, New Zealand, and Germany (all OECD countries).
? Briefly compare each with UK system.
Chapter 4:
? World Health Organization position on health care funding.
? Brief review on current trends in Healthcare privatization
Conclusion:
? Complete privatization is not necessary
? Decentralization is necessary for the successful survival of nationalized healthcare in the UK.
? Additional funding options (increased private sector involvement in public sector business etc?) are necessary to meet the increasing financial pressure on the budget due to the rising elderly population, constantly changing technologies, and increased expectations.
(UK healthcare system is too centralized, and it cannot continue to provide quality healthcare services under current funding options. They will need to look at other systems and current trends in privatization an apply certain aspects into their system.)
Append. & bibliography
A minimum of 30 references.
