John Spiers – författare

This volume explores problems concerning the series, national development and the national canon in a range of countries and their international book-trade relationships. Studies focus on issues such as the fabrication of a national canon, and on the book in war-time, the evolution of Catholic literature, imperial traditions and colonial libraries.

This volume explores problems concerning the series, national development and the national canon in a range of countries and their international book-trade relationships. Studies focus on issues such as the fabrication of a national canon, and on the book in war-time, the evolution of Catholic literature, imperial traditions and colonial libraries.

This book makes the case for 'ordinary' people to get the health and social care which the state has promised them for over 60 years but which has not been delivered. What is the case for choice? How can choice be made real for the individual? What impact can genuine, individually financially-empowered choice have on effective funding, purchasing, delivery, and outcomes? How can a genuine market grow and thrive? How can the quest for choice include the large numbers of NHS and social care staff on whom success depends? The book urges individual financial empowerment, through a life-long health savings account for all NHS and social services.

This book explores the controversial dilemmas which meet at the intersection of medicine philosphy and law - questions concerning killing and not killing which are faced daily in health care. They embrace euthanasia abortion the care of the elderly and the demented the care of the mentally ill children and those in a persistent vegative state. Who Owns our Bodies? identifies a crisis both in ethics and in empowerment as people face often neccessarily wretched choices. It seeks a framework of guidance for practical decision-making and focuses on two key issues. First who decides on an individual's quality of life and thus on their health care treatments? Second how can patients be empowered with a structure to enable choice self-realization self-reflection and self-responsibility? John Spiers with characteristic clarity and verve offers a fundamental choice between health care experienced as hierarchy and control and the alternative of choice and self-responsibilty. He argues that health care must rely on patients deciding how much power they have not on professionals deciding how much to grant them.

Care pathways are being developed throughout the health service to improve the quality and effectiveness of care. Are they being developed efficiently and making the most of the latest clinical computing systems? This is the first practical guide on how Information Technology and systems methods can support the development implementation and maintenance of "e-Pathways". Case studies throughout highlight team approaches to facilitation clinical knowledge management process analysis and redesign and computerisation - providing insights into how e-Pathways can be used to support high quality patient care. The information is presented in an easy-to-read style and requires no prior knowledge of IT systems. Doctors nurses and managers throughout primary and secondary care as well as healthcare information technology specialists and suppliers will find this to be essential reading. An accompanying CD-ROM includes supplementary information providing useful website links and additional material on specific topic areas.