Policy Framework Development

Introduction In this essay, I will discuss the welfare state since World War II and how it has impacted society in England and Wales. In addition, I will discuss the importance of social policy, how it was developed and the four most frequently used approaches. The ideas behind these approaches will be explained and some examples of such policies in different fields will be provided. Overall, evidence will be provided on how social policy became educational discipline in its own right. The origins of the National Health Service One of the most drastic social policies put into action in England and Wales has been the implementation of free medical treatment for all, through the National Health Service. According to Alcock (2008), illness was very common and health care expensive before the National Health Service (NHS) came into existence in 1948. Poor housing, overcrowding, poor sanitation, malnutrition and lack of education were common, enabling the spread of infectious diseases such as tuberculosis. Life expectancy was considerably lower, at a mere 60 years. During the 19th century, health care was provided through the workhouse, or municipal and voluntary hospitals. The rich were often treated in their own homes or in a private practice. A lady Almoner was responsible for carrying out a means test, which determined who got medical treatment, she was also responsible for approaching charities for funding. (Alcock, 2008) The ideology behind the development of the NHS was to put an end to ignorance, squalor , disease and poverty, by ensuring health care was available to all. This included free treatments for all, a family benefit scheme and full employment. Although some saw it as a politically risky move, Prime Minister Churchill gave his full backing for the NHS in 1943, thus starting the reform towards free health care. As Bochel reports: â€Å"During 1944, White Paper proposing a national health service, and the election of a Labour Government in 1945 made the establishment of a NHS almost certain. The necessary legislation was passed in the 1946 National Health Service Act.† (Bochel, 2009, p. 332). Finally, the NHS became a reality on July 5th 1948. It was an enormous achievement but due to the significant investment in time, money and resources, it was not met without opposition- this was a time when there were food and fuel shortages, as well as a dollar economic crisis. However, the general public wanted the new service to succeed, and as such Britain became the first country in Western Europe to offer free medical service, funded through the general taxation system. According to Bevan: â€Å"It was based on three core principles which include; it meets the needs of everyone, to be free at the point of delivery and it to be based on clinical needs, not ability to pay.† (National Health Service History, 2012). These core principles have remained the same since the creation of the NHS (Bochel, 2009,p. 332). However, free health care as provided by the NHS proved to be very expensive, with the drug bill increasing from ?13 million to ?41 million within the first two years of its creation. Additionally, as medicine progressed as a science, new technologies and methods increased the cost of the NHS from ?200 million to ?300 million. The provision of free health care for all led to excess demand, adding pressure to the already limited medical resources. The Government was reluctant to cover the excess cost, as it needed to invest in other sectors, such as education. As a result, charges for certain services, such as spectacles and dentures, as well as for prescriptions were implemented (Alcock2008). Neo-liberal ideology and the NHS In 1979, when the NHS had been in place for several decades, a Neo Liberal Government was elected, with little sympathy for the state provision of welfare and the high level of expenditure associated with it (Bochel, 2009, p. 332). Neo-liberal ideology supports the reorganization of the financial and organizational aspects of healthcare services worldwide, based on the argument that the then-existing health systems had failed. According to the recommendation report in 1983, four major problems of health systems globally were: i) misallocation of resources; ii) inequity of accessing care; iii) inefficiency; and iv) exploding costs. It was claimed that government hospitals and clinics were often inefficient, suffering from highly centralised decision-making, wide fluctuations in allocations, and poor motivation of workers (Alcock, 2008). Quality of care was also low, patient waiting times were long and medical consultations were short, misdiagnosis and inappropriate treatment were comm on. Also, the public sector had suffered from serious shortages of medical drugs and equipment, and the purchasing of brand-name pharmaceuticals instead of generic drugs was one of the main reasons for wasting the money spent on health (Navarro, 2007). Private providers were more technically efficient and offer a service that was perceived to be of higher quality. Neo-liberal policies Examples of policies implemented by the Neo-Liberal Government were those based on cost-effectiveness. Cost-effectiveness was presented as the main tool for choosing among possible health interventions for specific health problems. Disability-adjusted life years (DALYs) were used to measure the burden of disease and thus allowing comparisons between specific health problems. Greater reliance on the private sector to deliver clinical services was encouraged, with the expectation that it would raise efficiency. It was suggested that Governments should privatise the healthcare services, by selling the public goods and services, buying the services from the private sector, and supporting the private sector with subsidies. In order to increase efficiency, unnecessary legal and administrative barriers faced by private doctors and pharmacies would need to be removed. Neoliberal policies in healthcare were heavily criticised as they reportedly misdiagnosed the problems and its treatment, lea ding to a situation worse than it was before the policies were implemented. Shrinking from welfare state to minimum liberal state, retreating from most of the public services and letting the area to irrationality of market dynamics is making pharmaceutical, medical technology, insurance, and law companies the lead actors. It has been claimed that a system providing services according ability-to-pay rather than healthcare need, ensures decreased availability and accessibility to services† (Danis et al., 2008; Janes et al., 2006; Unger et al, 2008). New Labour and the NHS In 1997, the New Labour Government was elected, with a main focus to make a significant improvement on peoples’ health. This was expected to be done by rebuilding the health services within the NHS through â€Å"decentralizing of power and decision-making to local health trusts†. Decentralising was important in order to achieve increased responsiveness to local health needs by widening patient choice, and promoting organizational efficiency. The underlying premise was that decentralization would shorten the bureaucratic hierarchical structure and allow flexibility for local trust managers and health professionals- thus improving organizational performance from the ‘bottom-up’ (Crinson, 2009 :p 139). In 1997 the Government put forward its plans in the White Paper: â€Å"The New NHS: Modern, Dependable† (Blakemore 2003:p 172). The objective was to reduce bureaucratic control from the centre and restore autonomy to health professionals within the NHS. A t the same time, the Government was determined to limit public expenditure by looking at what was already put in place by the previous government. One of the new Labour objectives was to reduce the number of people on the treatment waiting list by offering patients greater choice of provider at the point of inpatient referral. This was put in place from January 2006 onwards, where patients have been offered a choice of at least four hospitals when referred for treatment by their general practitioner. In addition, a new inpatient booking system was put in place, where patients themselves could book their place and time of treatment (Adam, 2006). In 1998, health inequality targets were included in the public service agreements with local government and cross-department machinery was created to follow up a ‘Programme of Actions’, which had the general aim to reduce inequality in terms of life expectancy at birth, and to reduce the infant mortality rate by 10 per cent by 20 10 (Glennerster, 2007 : p 253). Examples of health care policies implemented by New Labour are: Maximum waiting times for in-patient treatment: six months by 2005 and three months by 2008; Patients able to see a primary care practitioner within twenty-four hours and a GP within forty- eight hours; Maximum waiting time of four-hours in emergency rooms; Plans to improve cancer treatment and health inequalities. In addition, in order to improve efficiency, two bodies were set up to give advice and push for more consistent and effective clinical standards in determining the cost of new drugs and procedures. This was the National Institute for Clinical Excellence (NICE) (Glennerster,2007 : p 250). However, as argued by Peckham and colleagues (year?), the decentralization of the NHS had mixed results. They note that the process of decentralization was not clear and that there were contradictions, reflecting a simultaneous process of centralization and decentralization, in which local perf ormance indicators were centrally-set. If achieved, this resulted in increased financial and managerial autonomy. However, there was some supportive evidence that decentralization had improved patients’ health outcome, as well as improved efficiency in coordination and communication processes (Crinson, 2009 : p 140). The Government at the time met its target for treatment waiting lists by 2000- the number of people on the waiting list had fallen by 150,000. However, one main criticism came from the doctors, nurses and other health professionals where they were the ones dealing with prioritizing patients based on medical need, whilst having to explain to other anxious and angry patients why their treatment is delayed (Crinson, 2009). Coalition Government and the NHS In 2010, the newly established Coalition Government published the NHS White Paper ‘Equity and Excellence: Liberating the NHS policy’, prepared by the Department of Health. This policy included important changes compared to those proposed by the previous Government, and reflected the aims of the Coalition’s five year plan. Some of the proposed changes include: i) responsibility for commissioning of NHS services shifted to GPs, as the Primary Care Trusts and Strategic Health Authorities were dissolved, and ii) Foundation Trust status granted to all hospitals, ensuring increased autonomy and decision-making power. These reforms were part of the Coalition’s broader goal to give more power to local communities and empower GPs. By way of estimation, it is expected that this cost to about 45% for the NHS management. Strengthening of the NHS Foundation Trusts in order for these Trusts to provide financial regulation for all NHS services was another objective of the reform. An independent NHS board was set up, with the aim to lead and oversee specialised care and GP commissioning respectively. The objectives behind the Coalition Government’s plans was to increase health spending in real terms for each year of Parliament, with full awareness that this would impact the spending in other areas. The Coalition Government still maintained Beverage idea that all health care should be free and available to everybody at the point of delivery, instead of based on the ability to pay. It was expected that this approach would improve standards, support professional responsibility, deliver better value for money and as such create a healthier nation. Although the Prime Minister rectified it in his speech, the Government failed to provide a clear account of the shortcomings of the NHS and its challenges. The preparation of the White Paper, which was to pass the coalition committee’s examination, saw more compromises. The elimination of PCTs was not foretold but the conservatives would make PCTs remain as the statutory commissioning authority responsible for public health despite their commitment to devolving real budgets to GPs. It was rumoured that the Liberal Democrats policy of elected representatives to PCTs appear weak. The compromise was to give greater responsibility for public health to local authorities and eliminate PCTs. This resulted in the formation of the GP commissioning consortia and the Health and Wellbeing Boards. Despite concerns raised by stakeholders, the proposals saw just a few changes. Maybe we can call it a missed chance in retrospect. Conclusion In conclusion, it can be argued that without the NHS coming to force when it did at such a dire time after the Second World War, the already high mortality rates would have continued to rise. The NHS was vital in changing peoples’ lives in England and Wales and around the world. The system was designed meet everyone needs, regardless of financial abilities and without discrimination. Many changes have taken place since the birth of the NHS in 1948. Four different Governments adapted the NHS with their policies and legislation. However, throughout its evolution, the NHS still provides healthcare free of charge, as was intended from its conception. References Alcock, (2008). Social Policy in Britain. 3rd ed.Basingstoke: Palgrace Macmillan Alexion Pharma (2010). Politics and Policy [Online] www. [email protected] Available From: http://www.pnh-alliance.org.uk/politics-and-policy/the-department-of-health-publishes-equity-and-excellence-liberating-the-nhs. [Accessed on: 06 Nov. 12] Blakemore, K (2003). Social Policy an introduction. 2nd ed. United Kingdom: Open University Press. Blakemore, K, Griggs, E. (2003). Social Policy an introduction. 3nd ed.England: Open University Press. Bochel, H., Bochel, C., Page, R., Sykes, R. (2009). Social Policy Themes, Issues and Debates. 2nd ed. England: Pearson Education Limited. Crinson, I. (2009) Health Policy a critical perspective. London: Sage Publication Ltd. Glennerster, H. (2007). British Social Policy. 3rd ed. Oxford: Blackwell Publishing. Danis, M.Z., Karatas, K., Sahin, M.C. (2008). Reflections of neoliberal policies on healthcare field and social work practices. World Applied Sciences Journal, 5(2), 224-235. Ezeonu, I. (2008). Crimes of globalization: health care, HIV and the poverty of neoliberalism in Sub-Saharan Africa. International Journal of Social Inquiry, 1(2), 113-134. Hospital Stories from Hell: National Health Videos (1998) [DVD] London: Channel 4. Recorded off –air 19/03/1998 Macara, S. ( 1998). Nursing Studies. BBC News: True to its principles [Online]. Available from: NHS Choices. Moonie N. (2003). Health and Social Care. Series ed. Oxford: Heine Educational Publisher. Navarro, V. (2007). Neoliberalism as a class ideology; or, the political causes of the growth of inequalities. Int J Health Serv, 37(1), 47-62. NHS. ( 2012). Nursing Studies. About the NHS: NHS core principles [Online]. Available from: NHS Choices. Oliver, Adam. â€Å"Further progress towards reducing waiting times†. Health Policy Monitor, April 2006. Available at http://www.hpm.org/survey/uk/a7/1 . [Accessed on: 14 Nov. 12] Pennies from Bevan: National Health Videos (1998) [DVD] London: Chanel 4. Recorded off –air 14/06/1998 Rivett, G (2012). Nursing Studies, National Health Service History. [Online]. Available from: http://www. NHS history.net [Accessed 06 March 2012). Socialist Health (2010). Coalition Health Policy 2010 [Online] http://www.sochealth.co.uk. Available From: http://www.sochealth.co.uk/campaigns/health-and-social-care-bill-2012/coalition-health-policy-2010/. [Accessed on: 06 Nov.12] Viveash, B, Senior, M. (1998). Health and Illness. London: Macmillan Press.

Baseball History

Baseball is the oldest and oldest professional group sports in North America. Of course, even after years of existence, baseball fans of all ages still have many moments to remember. I remember catch in the first game of the home run of the 1954 World Series and the 1960 Bill  · Mazero Ski World Series. Players like Babe Ruth, Ted Williams, Jackie Robinson surpass them. These players remain in the mind and head of the country for a long time after the game. In my opinion, the lack of baseball history is the last five letters. Since baseball's history is a historical department of a toy shop rather than the average writing history of the United States (baseball is called a toy division in the newspaper), it is moved by the event, moved by the character, the cargo train I will move the story. Like a novel, there must be a wise truth illuminated by the truth and wisdom of the truth. In other words, you can not precisely ignore speculative and aesthetic possibilities in the history of baseball. Problem-driven baseball history is simply unread for baseball history But the history of baseball may begin and the history of baseball history starts with most of us from Henry Chadwick. He remembered the first experience of playing baseball in 1848 - his comment showed that Nick Bock's rule did not wipe out everything before - if it is true - England cricket What is ~? Today, most people think that Father Chadwick and Nick Bock are playing together at Irisian battlefield. Just to invent scoring system and box score, or to sneak into the bad impact of gambler and tire. However, as Rankin pointed out during the first few years of the next century, Chadwick has been on for decades. Campaign on est moi's platform. I remember that subsystem trust is not Chadwick, but Herald's Michael Kelly.

See the attachment Coursework Example | Topics and Well Written Essays - 3000 words - 1

See the attachment - Coursework Example It is the objective of this essay to proffer a strategy assessment of DHL Company, as a global organization, with the specific aims of addressing the following concerns: (1) an identification of the organization’s companywide strategy; (2) a determination of the specific aspect of the strategy being focused on; (3) the competitive advantages of DHL; (4) the competitive strategies employed; and (5) an exploration of any identified issues on global management. The analysis of the organization would be used analytical tools such as SWOT and PESTLE analysis for a more comprehensive illustration of its competitive advantage on a global scale. The management report is designed to proffer an assessment of the global strategy of DHL to be â€Å"The Logistics Company for the World† (DHL: Corporate Portrait, 2010) where focus would be on logistics and mail. The specific strategies to support the attainment of the global strategy would focus on improving customer orientation, a concentration on the digital and physical solutions in the dialog marketing, providing a more secure electronic communications system, improving employee involvement and commitment, promoting communications through cross-divisional experience and enhancing leadership culture through improving the incentive scheme. Particularly, DHL envisioned an expansion through â€Å"its airfreight operations in Asia in a move linked to the inauguration of its expanded central Asia hub in Hong Kong and the launch of its north Asia hub in Shanghai† (Wallis, 2008, p. 38). By identifying and enumerating the organization’s internal resources and the factors that influence its external environment through both SWOT and PESTLE analyses, the report would clearly indicate the viability of the global strategy to sustain leadership in the logistics industry. DHL Company boasts of being â€Å"an express shipping multinational company operating in

Qualitative 2 Essay Example | Topics and Well Written Essays - 750 words

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Sexual Violence in Government and Politics Essay

Sexual Violence in Government and Politics - Essay Example From this paper it is clear that  politics governs the world since most of the policies used to implement the law and order are as a result of political ramifications. However, politics goes beyond the formulation of rules and laws that are used as a benchmark to govern societies. State have their foreign policies that regulate the extent to which they engage with other global allies. In the twenty-first century, sexual violence has become a tool for creating a compromise between opposing groups in the case of political conflicts. For instance, if a conflict ensues between two opposing sides of the government one may kidnap some members of the community’s particularly women and girls to exploit them sexually as an act of provocation to compromise the other group to come to consensus.This essay highlights that  sexual violence is thriving in governments, but most of the cases go unreported since their perpetrators threaten the victims because of the influence they command. It is a common phenomenon in most governments that people have to part with sexual favors in order to receive certain services from government officials. For instance, if one is looking for a job in a government agency, the bosses often demand sexual favors in return for the job. In essence, it is a kind of a barter exchange that occurs, but that result because the victims find themselves in a compromising situation in which they either give in to the demands or else they miss the opportunity, benefits or service that they were to receive.  

Writing to Learn 2 Assignment Example | Topics and Well Written Essays - 250 words

Writing to Learn 2 - Assignment Example However, these recommendations vary. They are given in consideration of the function, dietary intake patterns, requirement levels, metabolism and toxicity. The recommended level of dietary energy intake for an individual is the mean energy requirement of well-nourished and healthy individual. The human energy requirement is estimated from measures of energy needs plus the additional energy expenditure. The main determinants of total energy expenditure include; gender, age and body weight (Tukuitonga et al., 44). Thus, energy requirements vary for each gender and various age groups, and are both expressed as energy per kilogram of body weight and energy units per day. Human beings need energy for; basal metabolism, metabolic response to food, physical activity, pregnancy, lactation and for growth. The energy requirements are used to predict the energy intake recommended levels for different individuals with similar characteristics but no exact measurements have been made. There is no implication on the exact amount of energy that must be consumed on a daily basis but there are averages of the amount of energy that an individual needs in a day, which depends on their age, gender, state of health and the work that one does in a day. The average daily energy requirement for an adult is 8,700 kilojoules (Tukuitonga et al.,49).The daily intake may be higher or lower than 8700 KJ depending on an individual’s energy needs. Macronutrients are the three main food components, which include proteins, carbohydrates and fats. The average recommended daily macronutrient levels for an adult are; 50 grams protein, 70grams fat and 310 grams carbohydrates. All these recommendations also vary depending on individual characteristics such as age, gender and health status. All these individual characteristics determine the individual needs of each person; therefore, there is no exact recommended amount for each specific individual. Any excessive intake or deficient intake of

International Relations to East Asia Research Paper

International Relations to East Asia - Research Paper Example In the 19th century, Japan decided to adopt a developmentalism ideology as a defense mechanism in the then prevailing harsh and deep rooted competition from imperial states. Japan was determined to rise economically to enable it compete comfortably among the then well established states from the western region. The process of rapid development started before world war two. However, it stagnated greatly because the war interrupted the environment for Japan to develop. After the war, Japan set out to achieve its dream of being industrialized. The Japanese government concentrated on development policies in all its endeavors. The Japanese government was prepared to take any risk as long as that risk resulted to rapid economic expansion. Dent (2008) argues that some risks involved putting on hold all other policy agendas. At that time, it did not matter, whether the policy agendas ignored concerned the environment or nature. The opinion of the public did not count in the making of vital d ecisions, but rather the government was pragmatic and concentrated on the development goals. On the contrary, big businesses, politicians, and bureaucrats dominated the race to attaining industrialization. Japan’s primary target was to join organizations of the rich countries and therefore these three pillars worked tirelessly in implementing the policies set up by the government, to favor industrialization. In Asia, Japan got industrialized first through concentrating on development goals and preferably adopted this system because it was in a rush to join the global economy (Flath, 2005). The Japanese government formulated policies that favored the big corporations. In addition, these corporations received protection and support from the government. The bureaucrats had great potential to control government projects and therefore they ensured that these corporations thrived under all costs. In most cases, the government allowed the bureaucrat hierarchy to have more powers tha n the politicians. These bureaucrats formed a hierarchy in The Ministry of Finance and Ministry of International Trade and Industry. Members of the civil society did not participate in policymaking. Concentration on big corporations left out small and medium industries. The bureaucrats exerted great influence on the entire process of policymaking in Japan reaching a point whereby they acquired a dominant position. Despite Diet, the legislative body according the dominating power to cabinet, strategies from the bureaucrats overpowered the cabinet (Dent, 2008). It is through this system that the Japanese government rose to participate in the global economy. Japan gained entry into the Group 8 organization of rich countries (G8) and the Organization for Economic Cooperation and Development (OECD). Since the Japanese government chose to ignore all other policy agendas as they rose to the level of global economy, the great economic achievement brought about increased environmental pollut ion. The public condemned the companies that contributed to the highest level of pollution. In the process of industrialization, the government ignored the voice of the public. The big corporations that the government supported were under no obligation to take moral responsibility in protection of the environment. The public suffered terrible effects of the pollution. There was increased emergence of unknown diseases in the society because of pollution. These were the worst risks the government