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Are you a health and social care commissioner navigating the ever-changing commissioning landscape? With challenges such as limited funding, changing demands and global pandemics, we need to be clear on why, what and how we commission effectively.

This book offers you a warm welcome into the often-complex world of healthcare commissioning. Amanda J. Hughes shares personal insights from her commissioning career and practical guidance that will demystify the commissioning cycle and ease the journey as you strive to achieve the best outcomes for the population.

This book will help you to ensure valuable resources are directed to those with most need, that care is fair and accessible and that the solutions you put into place are sustainable for the longer term.

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Negotiations, Healthcare, and the Tension of Demedicalization
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Healthcare for transgender people is in crisis. Many of the problems stem from bureaucracies within the health system, limiting conceptualizations of sex and gender, and the requirement for a diagnosis of ‘gender dysphoria’.

This book presents a unique argument for full demedicalization of transness as a crucial step towards removing existing barriers to good healthcare. Resisting the current norm of separating sex and gender, it also argues for an understanding of them as necessarily interlinked and co-constructed.

By elevating trans voices and experiences, this book offers a new perspective on transness, medicalization and research methodologies to help trans people, practitioners and policy makers better understand the barriers faced by trans people when seeking healthcare.

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This book powerfully sets out the case for Transitional Safeguarding, a new approach to protection and safeguarding designed to address the needs and behaviours of young people aged 15-24 who are falling between gaps in current systems, with often devastating results.

Addressing the gaps in the current system, it outlines how the specific needs of young people can be met through this approach. Written by leading experts in this area with strong practice networks, it presents up-to-date evidence for its effectiveness, and also uses examples from practice to illustrate the ways in which services are beginning to address these issues.

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Access, Cost and Quality
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Written by a well-respected health and public policy expert, this book provides a comprehensive exploration of the under-appreciated role of public health policy in the United States’ medical care industry.

The book offers students:

• an introduction to the fundamentals of health policy, with comparative perspectives from other countries;

• analysis of major health care programmes, including Medicare, Medicaid, the Affordable Care Act and regulatory programs;

• reflections on issues around access, quality, cost, and the ethics of provision.

By drawing comparisons between the US and other countries, it deepens our understanding of health policy in the US, where it is headed next, and what it might learn from other systems.

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The State of UK Health Policy

In its 75th anniversary year, this book examines the history, evolution and future of the NHS.

With contributions from leading researchers and experts across a range of fields, such as finance, health policy, primary and secondary care, quality and patient safety, health inequalities and patient and public involvement, it explores the history of the NHS drawing on narrative, evaluative and analytical approaches.

The book frames its analysis around the four key axes from which the NHS has evolved: governance, centralisation and decentralisation, public and private, and professional and managerial.

It will address the salient factors which shape the direction and pace of change in the NHS. As such, the book provides a long-term critical review of the NHS and key themes in health policy.

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Practices of Care and Contestation

EPDF and EPUB available Open Access under CC-BY-NC-ND licence.

What does it mean to love a healthcare system?

It is often claimed that the UK population is unusually attached to its National Health Service and the last decade has seen increasingly visible displays of gratitude and love. While social surveys of public attitudes measure how much Britain loves the NHS, this book mobilises new empirical research to ask how Britain loves its NHS.

The answer delves into a series of public practices – such as campaigning, donating and volunteering within NHS organisations – and investigates how attitudes to the NHS shape patient experience of healthcare. Stewart argues that these should be understood as practices of care for, and contestation about the future of, the healthcare system.

This book offers a timely critique of both the potential, and the dysfunctions, of Britain’s complex love affair with the NHS.

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Everyday Life during the Pandemic

EPDF and EPUB available Open Access under CC-BY-NC-ND licence.

This book provides new insights into the challenges facing older people in the context of the COVID-19 pandemic.

It draws upon novel qualitative longitudinal research which recorded the experiences of a diverse group of people aged 50+ in Greater Manchester over a 12-month period during the pandemic. The book analyses their lived experiences and those of organisations working to support them, shedding light on the isolating effects of social distancing.

Covering 21 organisations, as well as 102 people from four ethnic/identity groups, the authors argue that the pandemic exacerbated existing inequalities in the UK, disproportionately affecting low-income neighbourhoods and Black, Asian and minority ethnic (BAME) communities.

The book outlines recommendations in relation to developing a ‘community-centred approach’ in responding to future variants of COVID-19, as well as making suggestions for how to create post-pandemic neighbourhoods.

Open access
Wellness, Tracking and Social Media
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This is a detailed analysis of how understandings of health management past, present and future has transformed in the digital age.

Since the mid-20th century, we have witnessed ‘healthy’ lifestyles being pushed as part of health promotion strategies, both via the state, and through health tracking tools, and narratives of wellness online. This marks a seismic shift from a public welfare state responsibility for health towards individualised practices of digital self-care. Today health has become representative of ‘lifestyle corrections’ which is performed on social media.

Putting the spotlight on neoliberalism and digital technology as pervasive tools that dictate wellness as a moral obligation, Rachael Kent critically analyses how users navigate relationships between self-tracking technologies, social media, and everyday health management.

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Global Policies, Narratives and Practices
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The past 30 years have seen risk become a major field of study, most recently with the COVID-19 pandemic positioning it at the centre of public awareness, yet there is limited understanding of how risk can and should be used in policy making.

This book provides an accessible guide to the key elements of risk in policy making, including its role in rhetoric to legitimise decisions and choices.

Using risk as a framework, it examines how policy makers in a range of countries responded to the COVID-19 pandemic and explains why some were more successful than others.

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Between Two Paradigms

Two decades have passed since the devolution of social care policy, with key differences emerging between the UK’s four systems, but what impact have these differences had? This book presents for the first time research on the perspectives of social care policy makers on the four systems in which they operate and the ways in which they borrow from one another.

Drawing on extensive interviews with national and local policy makers across the UK, the book raises vital questions about the role of ‘standardisation’ and ‘differentiation’ in social care, concluding that when given equal capacity to reform their respective systems, the regimes in each nation may take radically different shapes.

Chapter 4 and chapter 7 are available Open Access under CC-BY-NC-ND licence.

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