For years the NHS has been the most trusted of public institutions and the envy of many around the world. But today there is turmoil. Painful shortcomings in clinical care and patient experience, together with funding cuts, threaten to dig deep into service levels and standards. Seventy years of technically advanced medicine provided free to the population has produced a widespread perception of patients as passive consumers of healthcare. This book renews for our times the collective compact that created our public services in the 1940s. Voices from service users and service providers show how this can be done. They offer testimony of what goes wrong and what can be put right when working together becomes the norm. Sections explore new ways of living and working with long-term conditions, more meaningful and effective approaches to service redesign, to use of information technology, leadership, co-production and creating and accounting for quality. Appealing to a wide range of readers, with short, accessible contributions this is a book to provoke and inspire.
Introduction: What business are we really in? Long-term illness and the self-management of wellbeing; The philosophy of quality - not just ticking boxes: enquiry, stakeholders, and enabling different choices; How can information technology work for wellbeing? Dialogue, data and digital media; How can we really work together? Governance arrangements to meet the challenges of active citizenship and co-production; What kind of leadership to support co creation? Education, learning and active citizenship: Afterword