John Mohan - Böcker

This book contrasts the proposals of the Royal Commission of the late 1970s with the very different set of priorities enshrined in the 1989 White Paper and describes how the changes between the two documents came about. It argues that the NHS reforms should be seen not as the inevitable product of technical developments nor as a consensus response to narrowly managerial difficulties within the NHS, but rather as part of a wider political strategy towards state provision of welfare. The book strongly emphasises the uneven geographical impacts of post-1979 changes, a topic usually underplayed by analysts of social policy, and draws heavily on previously unpublished material.

The human geography of the UK is currently being reshaped by a number of forces - such as globalisation, transition in the organisations of production, the changing character of state intervention, and changing relationships with Europe. A consideration of the impacts of these forces on economic, social and political landscapes is, therefore, an urgent task. At the same time, enduring institutional features of the British economy and polity are also having important influences on socio-economic processes. The result is a complex mosaic of uneven development, which belies the notion of simplistic regional contrasts.Rather than simply mapping spatial inequality, 'A United Kingdom?' charts the processes underpinning uneven development at a range of scales and for a number of key topics. The book draws upon and synthesises the latest contemporary research findings and places emphasis on the interrelated nature of economic, social and political geographies. It treats the human geographies of the UK in a coherent and integrated way, and asks whether contemporary processes of change are tending towards the reduction of socio-spatial divisions or their reproduction in new forms.

Improving access to hospital services has been a goal of public policy in Britain for over seventy years, but the means by which this goal is to be attained have changed significantly over time. Drawing substantially on original research,lanning, Markets and Hospitals represents a systematic attempt to access the strengths and weaknesses of different forms of planning and coordination of hospital development.The period covered includes: services prior to 1948; wartime hospital policy; the successes and failures of the mixed economy of health care in the inter-war period; the national hospital plan of 1962 and ultimately the market based reforms of 1991 and the changes since.This book makes a fresh contribution to enduring debates about planning and regulation of health care, about the governance of welfare services and about the appropriate role for voluntary, commercial and charitable provision of services. It reinterprets previous histories of hospital policy and questions whether current policies will reconcile competing goals of equity and choice.

Improving access to hospital services has been a goal of public policy in Britain for over seventy years, but the means by which this goal is to be attained have changed significantly over time. Drawing substantially on original research,lanning, Markets and Hospitals represents a systematic attempt to access the strengths and weaknesses of different forms of planning and coordination of hospital development.The period covered includes: services prior to 1948; wartime hospital policy; the successes and failures of the mixed economy of health care in the inter-war period; the national hospital plan of 1962 and ultimately the market based reforms of 1991 and the changes since.This book makes a fresh contribution to enduring debates about planning and regulation of health care, about the governance of welfare services and about the appropriate role for voluntary, commercial and charitable provision of services. It reinterprets previous histories of hospital policy and questions whether current policies will reconcile competing goals of equity and choice.

Mutualism and health care, newly available in paperback, presents the first comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain’s acute hospital services, diversified their financial base by establishing hospital contributory schemes. Through these, working people subscribed small, regular amounts to their local hospitals, in return for which they were eligible for free hospital care. The book evaluates the extent to which the schemes were successful in achieving comprehensive coverage of the population, funding hospital services, and broadening opportunities for participation in the governance of health care and for the expression of consumer views. It then explores why the option of funding the post-war NHS through mass contribution was rejected, and traces the transformation of the surviving schemes into health cash plans. This is a substantial investigation into the attractions and limitations of mutualism in health care. It is highly relevant to debates about organisational innovations in the delivery of welfare services.

The human geography of the UK is currently being reshaped by a number of forces - such as globalisation, transition in the organisations of production, the changing character of state intervention, and changing relationships with Europe. A consideration of the impacts of these forces on economic, social and political landscapes is, therefore, an urgent task. At the same time, enduring institutional features of the British economy and polity are also having important influences on socio-economic processes. The result is a complex mosaic of uneven development, which belies the notion of simplistic regional contrasts.Rather than simply mapping spatial inequality, 'A United Kingdom?' charts the processes underpinning uneven development at a range of scales and for a number of key topics. The book draws upon and synthesises the latest contemporary research findings and places emphasis on the interrelated nature of economic, social and political geographies. It treats the human geographies of the UK in a coherent and integrated way, and asks whether contemporary processes of change are tending towards the reduction of socio-spatial divisions or their reproduction in new forms.

How voluntary action has been defined and measured is considered alongside individuals' accounts of their participation and engagement in volunteering over their lifecourse in this pioneering study. Combining rich, qualitative material from the Mass Observation Archive (1981-2012) with data from longitudinal and cross-sectional social surveys, it asks what is the scope and appetite for expansion of voluntary effort?

There are great expectations of voluntary action in contemporary Britain but limited in-depth insight into the level, distribution and understanding of what constitutes voluntary activity. Drawing on extensive survey data and written accounts of citizen engagement, this book charts change and continuity in voluntary activity since 1981. How voluntary action has been defined and measured is considered alongside individuals’ accounts of their participation and engagement in volunteering over their lifecourses. Addressing fundamental questions such as whether the public are cynical about or receptive to calls for greater voluntary action, the book considers whether respective government expectations of volunteering can really be fulfilled. Is Britain really a “shared society”, or a “big society”, and what is the scope for expansion of voluntary effort?This pioneering study combines rich, qualitative material from the Mass Observation Archive between 1981 and 2012, and data from many longitudinal and cross-sectional social surveys.Part of the Third Sector Research Series, this book is informed by research undertaken at the Third Sector Research Centre, funded by the Economic and Social Research Council and Barrow Cadbury Trust.

Substantial claims are made about the extent and impacts of volunteering, often characterised by limited engagement with research evidence. Volunteering is highly stratified, so whether it can bridge social divisions in an unequal society is questionable. Volunteering may have some benefits for individuals and communities, but these impacts are often marginal; volunteering is not a treatment that can be prescribed with certainty. There is certainly a strong ‘spirit of service’ evident in the British population, but it requires considerable faith to believe that it can be extended to all. This book provides a comprehensive and original overview of evidence about the patterns and impacts of volunteering, underpinning a novel, but sceptical, assessment of the contributions of voluntary action to British society.