Review: Volume 7 - Scottish History

Review: Volume 7 - Scottish History

We are searching data for your request:

Forums and discussions:
Manuals and reference books:
Data from registers:
Wait the end of the search in all databases.
Upon completion, a link will appear to access the found materials.

Scottish History

Between 1902 and 1905 the remote Scottish Highland community of Ballachulish, near Glencoe, was shaken to its foundations by protracted and bitter conflicts: a twelve month quarry lock-out and a dispute over the employment of Lachlan Grant, a doctor supported by the community. Conflicts between the quarrymen and the local community and the Slate Quarry employers concerned issues of wages, working and living conditions, but were much wider and broader. They involved a spectrum of social and economic concerns, a remarkable willingness to fight for principles and 'rights', for influence over decisions affecting the welfare of neighbours, friends and co-workers. Kirk unearths events that have barely figured in recent published records. He highlights a range of experiences and loyalties: chapter one examines the features of the community and workplace; the second chapter looks at their nature and chronology, the third explains the successes, failures and compromises and explores the wider historical and historiographical significance, and the fourth considers ways in which the actions and beliefs carry implications for the wider study of modern social protest movements. This study will appeal to readers with an interest in Social, Labour and Scottish history, and to students across the humanities and social sciences.

Read Online The History of Civilisation in Scotland Volume 3 - John MacKintosh | ePub Online

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most

Post Your Comments:

Review about the book :

Read The History of Civilisation in Scotland Volume 3 - John MacKintosh file in ePub

Related searches:

Guizot’s history of civilization in europe was read as widely by the public as the most popular novel. Along with the ancient greek and roman literature that was the mainstay of liberal education.

Fear about what the coronavirus might do to our economy is hurting it already. Learn more about economic crises past, how we slipped into them, and ultimately how we recovered from them.

Though written in the early and middle of the 20th century, and thus somewhat dated on matters whose understanding has since been heavily revised by archaeological, paleontological, genetic, and documentary discoveries, this set remains the definitive baseline history of civilization.

Welcome to the history of civilization, a series that has been keeping us up until silly o'clock in the morning since the release of sid meier's original game in september 1991.

Oct 2, 2018 from the cave paintings of lascaux to the latest moma exhibition, it binds human history together.

History of civilizations is a card-driven civilization game for 3 to 8 players that depict the rise and fall of empires from 4000bce to 1900ce.

The imperial china period makes up the bulk of chinese history. With the cyclical rise and fall of dynasties, chinese civilization was cultivated and prospered in times of peace, then reformed after rebellions and conquests. The qin and han dynasties (221bc –220 ad) the qin and han dynasties were the initial period of the chinese empire. During this period, a number of institutions were established that laid the foundation of the basic political system for the next 2,000 years.

Others kept going, and founded the canaanite civilization in modern israel/palestine, the sumerian civilization in iraq, the anatolian civilizations in turkey, the elamite civilization in iran, (there is no certainty as to which group started the indus valley civilization).

Salt has profoundly affected human history and it is not overstating its importance to describe it as an essential element in the establishment of many early civilizations.

The history of india begins with the birth of the indus valley civilization, more precisely known as harappan civilization.

Apr 6, 2020 welcome to the history of civilization, a series that has been keeping us up until silly o'clock in the morning since the release of sid meier's.

The idea that civilization equates to the summit of human development is long established in our history and relates directly to the rise of cities and states. However, with the triumph of evolutionism as a scientific theory, this definition was cemented evolutionism not only impacted the natural sciences, but also greatly affected the social.

Civilization describes a complex way of life that came about as people began to develop networks of urban settlements. The earliest civilizations developed between 4000 and 3000 bce, when the rise of agriculture and trade allowed people to have surplus food and economic stability.

Mesopotamia is credited with the beginnings of human civilization and many things that would change the world — the invention of time, the wheel, mathematics, maps, writing, and sailboats. The sumerians, one of the first human civilizations, were the first to build.

Home/project/creative society/ people broke silence a landmark event in the history of our civilization creative society people broke silence a landmark event in the history of our civilization.

While colonialism has been a feature of almost every known empire and civilization, the most recent colonial era was dominated by european states. Between the late 1400s and mid-1900s, european powers built massive overseas empires by force and guile.

Were civilizations - and walls - created only by fearful peoples? or did creating civilization cause people to become fearful?.

History of human civilization this is a rough history of human migration, advancement, and civilization. Some early years or dates may be a little uncertain but as a whole it shows a good comparison of events showing how we got to where we are today.

The history of mesoamerica is usually divided into specific periods which, taken together, reveal the development of culture in the region and, for the purposes of this definition, the emergence and cultivation of the maya civilization.

Early map making in greece, rome, china, and the middle east as well as cartography in europe and modern times. Burak karademir / getty images cartography is defined as the science and art of maki.

This modern conceptual framework began to form in the “classical” period of the 17th and 18th centuries. The midsection of madness and civilization is a dreary recital of the unfounded theorizing and hopeless treatments of that time-a tale of vapors, humors, shackles, purges, and cold showers.

We use cookies to distinguish you from other users and to provide you with a better experience on our websites.

The urartu civilization flourishes in ancient armenia, eastern turkey and western iran. Hellenistic civilization in greece, the mediterranean and asia.

The history of civilization most scholars associate the rise of civilizations with the neolithic revolution in which man learned how to manipulate agricultural production rather than just hunt.

The howstuffworks history section chronicles the history of world regions. Take a comprehensive look at the past in howstuffworks history.

The burning light of a magnificent civilisation, which awed the ancient greeks, dimmed and then suddenly disappeared.

Dutt gives an account of the historical events of thirty centuries of a nation as varied and as complex as india.

Until the 21st century (and even today in most schools) kids are taught that civilization began in the ‘golden crescent’ or mesopotamia as 18th/19th centuries had found these ruins to be the oldest known and that they had likely settled in one place due to the discovery/invention of agriculture and herding.

The nwo is the 7th king mentioned in revelation 17:11, from which comes the 8th (the antichrist). The bible says he will continue for a short space (the 7 year tribulation) and then go into perdition (the lake of fire).

The history of civilization in europe (penguin classics) [guizot, francois, siedentop, larry, hazlitt, william] on amazon.

The history of civilizations is an astonishing story of migration, innovation, and social development. Over 200,000 years, humans have populated the planet, adapted to environmental challenges, experimented with systems of government, and left such a strong mark on the earth that scientists now refer to our era as the anthropocene—the era of humanity.

The major periods in sumerian history were the ubaid period (6500-4100 bce), the uruk period (4100-2900 bce), the early dynastic period (2900-2334 bce), the akkadian empire period (2334 – 2218 bce), the gutian period (2218-2047 bce), sumerian renaissance /third dynasty of ur (2047-1940 bce), and then decline.

Like the early civilization of china in the yellow river valley, mesopotamia was a wetland territory, as its name (“between the rivers”) suggests.

The olmecs were advanced for their time in areas such as: architecture agriculture writing the creation of a calendar having the number zero bloodletting, human sacrifice and as some speculate, the compass.

Also known as the cradle of civilization, the fertile crescent is a crescent-shaped region containing the comparatively moist and fertile land of western asia, the nile valley, and the nile delta. An ornamental vignette combining a view of a palace facade and a top view of the royal courtyard.

Johns hopkins medicine has a rich history rooted in philanthropy, diversity, inclusion and a passion for innovation. We continue to monitor covid-19 cases in our area and providers will notify you if there are scheduling changes.

It was the search for these roots of harappan civilisation that led the husband-and-wife team of jean-francoise and catherine jarrige, both french archaeologists, to discover the site of mehrgarh in 1974.

Shelves: french-history, history it's a brilliant work, but a bit too philosophical. Guizot has a view of civilization that he wants to propound, but what's most fascinating is the emphasis he places on class struggle in history.

Bad omen: the bayeux tapestry depicts events during the battle of hastings in 1066.

General history of civilization in europe guizot presented the lectures upon which this book is based in 1828 at the sorbonne where he was professor of history. He provides a survey of european history and culture from its beginnings until the french revolution.

Cigarettes are “the deadliest artifact in the history of civilization” – more than bullets, more than atom bombs, more than traffic accidents or wars or heroin addiction combined. They are also among “the most carefully and most craftily devised small objects on the planet.

The history of archaeology - the history of archaeology dates back to the 15th and 16th century with the rise in popularity of humanism.

If you live just about anywhere in the american west, you or your children and grandchildren could soon enough be facing the age of thirst.

Aug 15, 2016 above, watch 'a geopolitical history of all empires, nations, kingdoms, armies and republics' unfold in 13 minutes.

Majlis is a key feature of civilisation in uae published: may 22, 2009 23:39 by fatma salem, staff reporter dubai: the majlis is one of the cornerstones of emirati civilisation.

A podcast that explores the collapse of different societies through history.

Originally given as a series of lectures at the sorbonne, françois guizot’s history of civilization in europe was published to great acclaim in 1828 and is now regarded as a classic in modern historical research. History was particularly influential on karl marx, john stuart mill, and alexis de tocqueville. Tocqueville, in fact, requested that a copy of history be sent to him when he arrived in the united states.

Civilizations are harder to define with exact years, but at the beginning of the new covenant, rome was already in decline. In the church’s future would be other large nations and empires in the west: the “holy” roman empire, various colonial powers, the spanish, the portuguese, and the french.

These cities, and their civilization, vanish without trace from history until discovered in the 1920s. Life in the indus valley cities seems to have been highly regulated. Streets are laid out on a rectangular grid pattern, and there is a sewage system with household drains leading into main sewers of baked brick.

In general, civilization involves the rise of legal institutions and the acquisition of a legal monopoly of force by a government. Those developments made possible the cities and empires of classical times and the growth of dense populations.

En nombre de la civilización: guerra, conquista y colonialismo.

These various interconnections mean that history, civilization and writing all begin at the same time. Mesopotamia and egypt: 3100 bc: in about 3200 bc the two earliest civilizations develop in the region where southwest asia joins northeast africa.

As there were no literate societies in canada during that period, their history must be revealed by archaeological evidence.

In world history we had about 40 different civilizations, according to some measures. Most of these civilizations were small and lasted for a few centuries of a millennia, others lasted longer. These 3 most important civilizations in history were the 3 eurasian civilizations: the western eurasian civilization, indian civilization and sinitic civilization.

The story of civilization (1935–1975), by husband and wife will and ariel durant, is an 11-volume set of books covering western history for the general reader. The series was written over a span of more than five decades.

This is a rich and comprehensive book on the history and civilization of the tatars and the first to be published in the english language.

This history is one of foucault's most fascinating explorations of the relationship between knowledge and power. It would be simplistic to say that an exercise of power is then justified by a body of knowledge which forgets how it is related to that exercise of power, but that is one message that can be derived from foucault's project here: the role of discourses, imaginary figures, political.

Civilization is a form of human culture in which many people live in urban centers, have mastered the art of smelting metals, and have developed a method of writing. The first civilizations began in cities, which were larger, more populated, and more complex in their political, economic and social structure than neolithic villages.

Civilization: in 1884, the berlin conference marked the official beginning of colonialism in africa. One of the justifying principles behind colonialism was the need to civilize the purportedly backward peoples of africa.

But it is no longer the preserve of “renaissance man” or of “ the west,” or even of literate societies.

Civilization is an advanced stage of human society, where people live with a reasonable degree of organization and comfort and can think about things like art and education.

Mar 20, 2020 i'm talking about francois guizot's 'the history of civilization in europe,' a great the greatest study of western civilization ever written.

Truth is, though, that africa’s history of civilisation and interaction with the world is written in the stone walls of mapungubwe, great zimbabwe, thulamela and many other such ancient settlements.

This is how the sahara sustained several civilizations that thrived in its arid environment. Up to now, amidst its vast, dry and hot façade, it is very popular, especially in the field of research, where in, it is believed that valuable ancient artifacts, relics and even fossils of the ancient civilizations is hidden there, somewhere.

In the middle ages, christian civilization flourished throughout europe, and gave rise to the establishment of universities, the construction of grandiose cathedrals and the end of slavery. It goes to show that, because of christian civilization, even a form as plain as an egg can be made into a treasure worthy of a king.

Nayef al-rodhan proposes a new model of oceanic civilization in which cultures converge as rivers do in a final ocean, which goes deeper along with history,.

Etruscans settlements were mainly on top of steep hills (see for example volterra or orvieto) and were known to be surrounded by walls and fortifications. According to popular mythology, when rome was founded by romulus and remus it was done on the palantine hill according to etruscan tradition.

The idea that civilization equates to the summit of human development is long established in our history and relates directly to the rise of cities and states. However, with the triumph of evolutionism as a scientific theory, this definition was cemented evolutionism not only impacted the natural sciences, but also greatly affected the social sciences such as history, archeology and anthropology.

After all, it was when weather patterns finally became predictable about 11,500 years ago that complex civilizations finally formed in the first place. A stable climate ensured that crops would grow year after year, and a reliable source of food freed people to settle down and develop culture.

Toynbee explored civilization processes in his multi-volume a study of history, which traced the rise and, in most cases, the decline of 21 civilizations and five arrested civilizations. Civilizations generally declined and fell, according to toynbee, because of the failure of a creative minority, through moral or religious decline, to meet.

The indus civilisation was as old as the civilisation of the valleys of nile and tigris. For thousands of years, that civilisation was lying buried under earth. People believed that civilisation in india began with the aryans.

The mycenaean civilization (or mycenaean greece) was the final stage of the bronze age in ancient greece. It embodies the very first sophisticated and distinctly greek civilization in mainland greece with its works of art, writing systems, urban organization, and palatial estates.

Guizot presented the lectures upon which this book is based in 1828 at the sorbonne where he was professor of history. He provides a survey of european history and culture from its beginnings until the french revolution. He wants to show what is unique to european “civilisation”, such as feudalism, the rise of the free cities, the centralised monarchies, and revolutions in england and france.

A civilization or civilisation is a society or culture group normally defined as a complex society characterized by the practice of agriculture and settlement in cities city-dwellers might be the exact meaning but that's not what people usually mean when they ask: how long do civilizations last.

The peak of phoenician colonization took place in the centuries after the late bronze age collapse of 1200 bce (caused by the mysterious “sea peoples”) when the levantine city-states took advantage of the power vacuum created by the sudden fall of several major civilizations (including the mycenaeans, the kingdom of ugarit, the egyptians and the hittites).

Jed buchwald and mordechai feingold reveal the manner in which newton strove for nearly half a century to rectify universal history by reading ancient texts.

Online Books Library is in no way intended to support illegal activity. We uses Search API to find the overview of books over the internet, but we don't host any files. All document files are the property of their respective owners, please respect the publisher and the author for their copyrighted creations. If you find documents that should not be here please report them. Read our DMCA Policies and Disclaimer for more details.


Calls for a "unified medical service" can be dated back to the Minority Report of the Royal Commission on the Poor Law in 1909. [21]

Somerville Hastings, President of the Socialist Medical Association, successfully proposed a resolution at the 1934 Labour Party Conference that the party should be committed to the establishment of a State Health Service. [22]

Following the 1942 Beveridge Report's recommendation to create "comprehensive health and rehabilitation services for prevention and cure of disease", cross-party consensus emerged on introducing a National Health Service of some description. [23] Conservative MP and Health Minister, Henry Willink later advanced this notion of a National Health Service in 1944 with his consultative White Paper "A National Health Service" which was circulated in full and short versions to colleagues, as well as in newsreel. [24]

When Clement Attlee's Labour Party won the 1945 election he appointed Aneurin Bevan as Health Minister. Bevan then embarked upon what the official historian of the NHS, Charles Webster, called an "audacious campaign" to take charge of the form the NHS finally took. [25] Bevan's National Health Service was proposed in Westminster legislation for England and Wales from 1946 and Scotland from 1947, and the Northern Ireland Parliament's Public Health Services Act 1947. [26] According to one history of the NHS, "In some respects the war had made things easier. In anticipation of massive air raid casualties, the Emergency Medical Service had brought the country’s municipal and voluntary hospitals into one umbrella organisation, showing that a national hospital service was possible." [27] Charles Webster, official historian of the NHS, wrote in 2002 that "the Luftwaffe achieved in months what had defeated politicians and planners for at least two decades." [28]

NHS Wales was split from NHS (England) in 1969 when control was passed to the Secretary of State for Wales before transferring to the Welsh Executive and Assembly under devolution in 1999. [29]

The NHS was born out of the ideal that good healthcare should be available to all, regardless of wealth. Although being freely accessible regardless of wealth maintained Henry Willink's principle of free healthcare for all, Conservative MPs were in favour of maintaining local administration of the NHS through existing arrangements with local authorities fearing that an NHS which owned hospitals on a national scale would lose the personal relationship between doctor and patient. [30]

Conservative MPs voted in favour of their amendment to Bevan's Bill to maintain local control and ownership of hospitals and against Bevan's plan for national ownership of all hospitals. The Labour government defeated Conservative amendments and went ahead with the NHS as it remains today a single large national organisation (with devolved equivalents) which forced the transfer of ownership of hospitals from local authorities and charities to the new NHS. Bevan's principle of ownership with no private sector involvement has since been diluted, with later Labour governments implementing large scale financing arrangements with private builders in private finance initiatives and joint ventures. [31]

At its launch by Bevan on 5 July 1948 it had at its heart three core principles: That it meet the needs of everyone, that it be free at the point of delivery, and that it be based on clinical need, not ability to pay. [32]

Three years after the founding of the NHS, Bevan resigned from the Labour government in opposition to the introduction of charges for the provision of dentures, dentists, [33] and glasses. [34] The following year, Winston Churchill's Conservative government introduced prescription fees. These charges were the first of many controversies over changes to the NHS throughout its history. [35]

From its earliest days, the cultural history of the NHS has shown its place in British society reflected and debated in film, TV, cartoons and literature. The NHS had a prominent slot during the 2012 London Summer Olympics opening ceremony directed by Danny Boyle, being described as "the institution which more than any other unites our nation". [36]

UK residents are not charged for most medical treatment, though NHS dentistry does have standard charges in each of the four national health services in the UK. In addition, most patients in England have to pay charges for prescriptions though some are exempted.

Aneurin Bevan, in considering the provision of NHS services to overseas visitors wrote, in 1952, that it would be "unwise as well as mean to withhold the free service from the visitor to Britain. How do we distinguish a visitor from anybody else? Are British citizens to carry means of identification everywhere to prove that they are not visitors? For if the sheep are to be separated from the goats both must be classified. What began as an attempt to keep the Health Service for ourselves would end by being a nuisance to everybody." [37]

The provision of free treatment to non-UK-residents, formerly interpreted liberally, has been increasingly restricted, with new overseas visitor hospital charging regulations introduced in 2015. [38]

Citizens of the EU holding a valid European Health Insurance Card and persons from certain other countries with which the UK has reciprocal arrangements concerning health care can get emergency treatment without charge. [39]

The NHS is free at the point of use, for general practitioner (GP) and emergency treatment not including admission to hospital, to non-residents. [40] People with the right to medical care in European Economic Area (EEA) nations are also entitled to free treatment by using the European Health Insurance Card. Those from other countries with which the UK has reciprocal arrangements also qualify for free treatment. [41] [42] Since 6 April 2015, non-EEA nationals who are subject to immigration control must have the immigration status of indefinite leave to remain at the time of treatment and be properly settled, to be considered ordinarily resident. People not ordinarily resident in the UK are in general not entitled to free hospital treatment, with some exceptions such as refugees. [3] [43]

People not ordinarily resident may be subject to an interview to establish their eligibility, which must be resolved before non-emergency treatment can commence. Patients who do not qualify for free treatment are asked to pay in advance or to sign a written undertaking to pay, except for emergency treatment.

People from outside the EEA coming to the UK for a temporary stay of more than six months are required to pay an immigration health surcharge at the time of visa application, and will then be entitled to NHS treatment on the same basis as a resident. This includes overseas students with a visa to study at a recognised institution for 6 months or more, but not visitors on a tourist visa. [44] In 2016 the surcharge was £200 per year, with exemptions and reductions in some cases. [45] This was increased to £400 in 2018. The discounted rate for students and those on the Youth Mobility Scheme will increase from £150 to £300. [46]

From 15 January 2007, anyone who is working outside the UK as a missionary for an organisation with its principal place of business in the UK is fully exempt from NHS charges for services that would normally be provided free of charge to those resident in the UK. This is regardless of whether they derive a salary or wage from the organisation, or receive any type of funding or assistance from the organisation for the purposes of working overseas. [47] This is in recognition of the fact that most missionaries would be unable to afford private health care and those working in developing countries should not effectively be penalised for their contribution to development and other work.

Those who are not ordinarily resident (including British citizens who may have paid National Insurance contributions in the past) are liable to charges for services.

There are some other categories of people who are exempt from the residence requirements such as specific government workers and those in the armed forces stationed overseas.

The trade union, Unite, said back in early 2019 that the NHS had been under pressure as a result of economic austerity. [48] A 2018 public survey reported that public satisfaction with the NHS has fallen from 70% in 2010 to 53% in 2018. [49] The NHS is consistently ranked as the institution that makes people proudest to be British, beating the Royal family, Armed Forces and the BBC. [50] NHS staff – particularly pharmacists, nurses and doctors – are the most trusted professions in Britain. [51]

Funding Edit

The systems are 98.8% funded from general taxation and National Insurance contributions, plus small amounts from patient charges for some services. [53] [54] About 10% of GDP is spent on health and most is spent in the public sector. [55] The money to pay for the NHS comes directly from taxation. The 2008/9 budget roughly equates to a contribution of £1,980 per person in the UK. [56]

When the NHS was launched in 1948 it had a budget of £437 million [57] (equivalent to £16.01 billion in 2019). In 2016–2017, the budget was £122.5 billion. [58] In 1955/6 health spending was 11.2% of the public services budget. In 2015/16 it was 29.7%. [59] This equates to an average rise in spending over the full 60-year period of about 4% a year once inflation has been taken into account. Under the Blair government spending levels increased by around 6% a year on average. Since 2010 spending growth has been constrained to just over 1% a year. [59]

Some 60% of the NHS budget is used to pay staff. A further 20% pays for drugs and other supplies, with the remaining 20% split between buildings, equipment, training costs, medical equipment, catering and cleaning. Nearly 80% of the total budget is distributed by local trusts in line with the particular health priorities in their areas. [60] Since 2010, there has been a cap of 1% on pay rises for staff continuing in the same role. Unions representing doctors, dentists, nurses and other health professionals have called on the government to end the cap on health service pay, claiming the cap is damaging the health service and damaging patient care. [61] The pay rise is likely to be below the level of inflation and to mean a real-terms pay cut. [62] The House of Commons Library did research showing that real-terms NHS funding per head will fall in 2018–19, and stay the same for two years afterwards. [63]

There appears to be support for higher taxation to pay for extra spending on the NHS as an opinion poll in 2016 showed that 70% of people were willing to pay an extra penny in the pound in income tax if the money were ringfenced and guaranteed for the NHS. [64] Two thirds of respondents to a King's Fund poll favour increased taxation to help finance the NHS. [65]

The Guardian has said that GPs face excessive workloads throughout Britain and that this puts the GP's health and that of their patients at risk. [66] The Royal College of Physicians surveyed doctors across the UK, with two-thirds maintaining patient safety had deteriorated during the year to 2018: 80% feared they would be unable to provide safe patient care in the coming year while 84% felt increased pressure on the NHS was demoralising the workforce. Jane Dacre said, “We simply cannot go through this [a winter when the NHS is badly overstretched] again. It is not as if the situation was either new or unexpected. As the NHS reaches 70, our patients deserve better. Somehow, we need to move faster towards a better resourced, adequately staffed NHS during 2018 or it will happen again.” [67] At a time when the NHS is short of doctors foreign doctors are forced to leave the UK due to visa restrictions. [68] A study found that a fifth of doctors had faced bullying from seniors in the previous year due to pressure at work. [69]

The NHS is under-resourced compared to health provisions in other developed nations. A King’s Fund study of OECD data from 21 nations, revealed that the NHS has among the lowest numbers of doctors, nurses and hospital beds per capita in the western world. [70] Nurses within the NHS maintain that patient care is compromised by the shortage of nurses and the lack of experienced nurses with the necessary qualifications. [71] According to a YouGov poll, 74% of the UK public believes there are too few nurses. [72] The NHS performs below average in preventing deaths from cancer, strokes and heart disease. [73] Staff shortages at histology departments are delaying diagnosis and start of treatment for cancer patients. [74] In England and Scotland cancer wards and children's wards have to close because the hospital cannot attract sufficient qualified doctors and nurses to run the wards safely. Cancer patients and child patients are having to travel very long distances to get treatment and their relatives must travel far to visit the patients. In wards which have not closed staff sometimes work under stress due to staff shortages. Brexit is likely to aggravate these problems. [75] Due to the shortage of nurses the NHS is relying on less qualified staff like healthcare assistants and nursing associates. [76]

Cancer survival rates in the UK have been rising fast but probably still lag behind the best results internationally, mainly because of late diagnosis. [77] However death rates from breast cancer are falling faster in Britain than in any other of the six largest countries in Europe, and are estimated now to have improved beyond the European average. [78] [79] According to Breast Cancer Care 72% of NHS trusts across the UK do not provide dedicated specialist nurses for patients with incurable breast cancer." [80] [77] Cancer Research UK maintains more NHS cancer personnel are needed to enable the UK to catch up The NHS in England is expanding early diagnosis services with the goal of increasing the proportion of cancers diagnosed early (at stages 1 and 2) from 53% to 75% in the decade to 2028. [81] The NHS was the first health service in Europe to negotiate coverage for novel CAR-T cancer therapy, with agreement reached within 10 days of its European marketing authorisation. [82]

In 2018, British Prime Minister Theresa May announced that NHS in England would receive a 3.4% increase in funding every year to 2024, which would allow it to receive an extra £20bn a year in real terms funding. [83] There is concern that a high proportion of this money will go to service NHS debts rather than for improved patient care. There are calls for the government to write off the NHS debt. Saffron Cordery of NHS Providers said that hospitals needed help to do their work without being up in deficit, as two-thirds were in the year to 2018. [84] Some expressed doubt over whether May could carry out this proposed increase in funding. [85] The next day, Health Secretary Jeremy Hunt backed the extra £20bn annual increase in NHS funding and responded to criticism by stating that taxation would be used to carry out the funding and that details would be revealed when the next budget is unveiled in November. [83] [86]

The Institute for Fiscal Studies has stated a 5% real-terms increase was needed for real change. Paul Johnson of the IFS said the 3.4% was greater than recent increases, but less than the long-term average. [87] Health experts maintain the money will "help stem further decline in the health service, but it's simply not enough to address the fundamental challenges facing the NHS, or fund essential improvements to services that are flagging." [88] Inflation may erode the real value of this funding increase. [89]

As part of the 2018 funding increase the UK Government asked the NHS in England to produce a 10-year plan as to how this funding would be used. On 7 January 2019, the NHS England published the NHS Long Term Plan.

Staffing Edit

The United Kingdom's exit from the European Union will affect physicians from EU countries, about 11% of the physician workforce. [91] Many of these physicians are considering leaving the UK if Brexit happens, as they have doubts that they and their families can live in the country. [91] A survey suggests 60% are considering leaving. [92] Record numbers of EU nationals (17,197 EU staff working in the NHS which include nurses and doctors) left in 2016. The figures, put together by NHS Digital, led to calls to reassure European workers over their future in the UK. [93]

In June 2018, the Royal College of Physicians calculated that medical training places need to be increased from 7,500 to 15,000 by 2030 to take account of part-time working among other factors. At that time there were 47,800 consultants working in the UK of which 15,700 were physicians. About 20% of consultants work less than full-time. [94]

A study by the Centre for Progressive Policy called for NHS trusts to become “exemplar employers” by improving social mobility and pay especially for those "trusts in poorer places where they can play a particularly large role in determining the economic wellbeing of the local population.” They found the NHS to be " a middle ranking employer in comparison to other large organisations and falls short on social mobility and the real Living Wage", and ranked trusts using a ‘good employer index’. Ambulance trusts were ranked worst. [95]

Performance Edit

A 2018 study by the King's Fund, Health Foundation, Nuffield Trust, and the Institute for Fiscal Studies to mark the NHS 70th anniversary concluded that the main weakness of the NHS was healthcare outcomes. Mortality for cancer, heart attacks and stroke, was higher than average among comparable countries. The NHS was doing well at protecting people from heavy financial costs when ill. Waiting times were about the same, and the management of longterm illness was better than in other comparable countries. Efficiency was good, with low administrative costs and high use of cheaper generic medicines. [96] Twenty-nine hospital trusts and boards out of 157 had not met any waiting-time target in the year 2017–2018. [97] The Office for National Statistics reported in January 2019 that productivity in the English NHS had been growing at 3%, considerably faster than across the rest of the UK economy. [98]

Over 130,000 deaths since 2012 in the UK could have been prevented if progress in public health policy had not stopped due to austerity, analysis by the Institute for Public Policy Research found. Dean Hochlaf of the IPPR said: "We have seen progress in reducing preventable disease flatline since 2012."" [99]

British exit from the European Union Edit

There is concern that a disorderly Brexit may compromise patients' access to vital medicines. In February 2018 many medical organisations were planning for a worst-case Brexit scenario because "time is running out" for a transition deal to follow the UK’s formal exit, scheduled for March 2019. [100] Pharmaceutical organisations working with the Civil Service to keep medicine supplies available in the case of a no-deal Brexit had to sign 26 Non-Disclosure Agreements (NDAs) to prevent them from giving the public information. The figures were given on 21 December 2018 after Rushanara Ali asked a parliamentary question. Ali said, "It is utterly unacceptable for the government to use non-disclosure agreements with pharmaceutical businesses and trade associations. By effectively ‘gagging’ these organisations, these secretive agreements are preventing essential information from being shared, are undermining transparency and are hampering businesses’ ability to speak out." [101] As negotiations continue between the UK and the EU as of 1 January 2021, vulnerable people needing treatment when working, living or travelling to the UK may lose out by not having access to NHS Care. [102]

Rising social care costs Edit

Social care will cost more in future according to research by Liverpool University, University College London, and others and higher investment are needed. Professor Helen Stokes-Lampard of the Royal College of GPs said, “It’s a great testament to medical research, and the NHS, that we are living longer – but we need to ensure that our patients are living longer with a good quality of life. For this to happen we need a properly funded, properly staffed health and social care sector with general practice, hospitals and social care all working together – and all communicating well with each other, in the best interests of delivering safe care to all our patients.” [103]

Mental health Edit

Some patients have to wait excessively long for mental health care. The Royal College of Psychiatrists found some must wait up to thirteen months for the right care. Wendy Burn of the Royal College of Psychiatrists said, “It is a scandal that patients are waiting so long for treatment. The failure to give people with mental illnesses the prompt help they need is ruining their lives.” Even patients who are suicidal or who have attempted suicide are sometimes denied treatment patients are told they are not ill enough or waiting lists are too long. During very long waits for treatment, one in three patients deteriorate, and they may become unemployed or get divorced. One in four patients throughout the UK wait over three months to see an NHS mental health professional, with 6% waiting at least a year. [104]

The National Audit Office found mental health provisions for children and young people will not meet growing demand, despite promises of increased funding. Even if promises to provide £1.4bn more for the sector are kept, there will be “significant unmet need” due to staff shortages, inadequate data and failure to control spending by NHS clinical commissioning groups. Currently one-quarter of young people needing mental health services can get NHS help. The Department of Health and Social Care hopes to raise the ratio to 35%. Efforts to improve mental health provisions could reveal previously unmet demand. [105]

Meg Hillier of the select committee on public accounts said: "The government currently estimates that less than a third of children and young people with a diagnosable mental health condition are receiving treatment. But the government doesn’t understand how many children and young people are in need of treatment or how funding is being spent locally. The government urgently needs to set out how departments, and national and local bodies, are going to work together to achieve its long-term ambition.” Amyas Morse said, “Current targets to improve care are modest and even if met would still mean two-thirds of those who need help are not seen. Rising estimates of demand may indicate that the government is even further away than it thought." [105]

In response, NHS England has embarked on a major programme to expand mental health services, whose budgets are now growing faster than the NHS overall. [106] MIND the mental health charity responded saying: "We are pleased that the plan includes a commitment of £2.3bn a year towards mental health, to help redress the balance. The plan promises that this money will see around two million more people with anxiety, depression and other mental health problems receive help, including new parents, and 24 hour access to crisis care. The plan also includes a guarantee that investment in primary, community and mental health care will grow faster than the growing overall NHS budget so that different parts of the NHS come together to provide better, joined-up care in partnership with local government. Since the funding announcement in the summer, Mind has been working with the NHS, Government and voluntary sector to help shape the long term plan. This longer-term strategy was developed in consultation with people with mental health problems to ensure their views are reflected." [106]

Surgery Edit

Waiting times for routine surgery have fallen substantially since 2000. As of July 2019, the median wait for planned care in England is under 8 weeks. The number of people waiting over 12 months has fallen from over 200,000 in the 1980s to under 2000 in 2019. [107] However the number of patients on the waiting list has risen recently as constrained funding, hospital beds and staffing growth has not kept up with increasing patient need. [108]

Electronic systems Edit

Twenty-one different electronic systems are used in the NHS to record data on patients. These systems do not communicate well with each other so there is a risk doctors treating a patient will not know everything they need to know to treat the patient effectively. There were 11 million patient interactions out of 121 million where information from a previous visit could not be accessed. Half the Trusts using Electronic Medical Records used one of three systems and at least those three should be able to share information. A tenth of Trusts used multiple systems in the same hospital. Leigh Warren who participated in the research said, "Hospitals and GPs often don't have the right information about the right patient in the right place at the right time. This can lead to errors and accidents that can threaten patients' lives." [109]

Sale of data Edit

Information on millions of NHS patients was sold to international pharmaceutical companies, in the US and other nations for research, adding to concerns over USA ambitions to access remunerative parts of the NHS after Brexit. There is concern over lack of transparency and clarity over the data and how it is used. Phil Booth of medConfidential [1], campaigning for privacy of health data, said: "Patients should know how their data is used. There should be no surprises. While legitimate research for public health benefit is to be encouraged, it must always be consensual, safe and properly transparent. Do patients know – have they even been told by the one in seven GP practices across England that pass on their clinical details – that their medical histories are being sold to multinational pharma companies in the US and around the world?" [110]

Medicines Edit

In November 2019 unprecedented shortages of medicines patients need developed. Drugs to treat cancer, heart disease, Parkinson's disease, mental health conditions, some eye conditions, antibiotics for tuberculosis and drugs to control epilepsy are among those in short supply. Life saving drugs will have to be rationed and not all patients who need them will get them. Some patients can be switched onto other drugs, though this may increase the workload of hard-pressed medical staff other patients cannot be switched to alternative drugs. Many problems can impact the supply chain, like IT failure, speculators stockpiling drugs, alterations in regulation and sudden disease outbreaks. Tony O’Sullivan of Keep Our NHS Public said: "The Health Department’s guidance includes an unprecedented list of drugs unavailable or in short supply. Patients and clinicians alike should be on high alert when the advice includes how to ‘share stocks’ to make them last, to ‘prioritise’ patients already on specific treatments including cancer rather than a new patient and effectively how to ration so many vital drugs. Drug companies’ behaviour must be controlled. We must urgently protect the NHS from further risks of loss of control of drug prices and supplies from trade deals with the US and that requires returning it to a wholly public service." [111] [112]

Whistleblowing Edit

In an independent review in 2016 by Robert Francis, it was concluded that some staff in England felt unable or unwilling to raise concerns about standards of care due to fear or low expectations, and that some staff who raised concerns had bad experiences and suffered unjustifiable consequences which the report described as "shocking". [113] : 86 There is a culture of bullying towards those who raise concerns. [113] : 87 This response may consist of placing the whistleblower on performance review, providing no assistance to them, starting a review process that can take months or years, possibly leading to mental health problems, and bullying and victimisation by other staff. [113] : 56 This process rarely ended with being redeployed in an organisation, instead resulting in retirement, dismissal, or alternative employment. [113] : 63

An issue identified by the report was the use of "gagging clauses" involved in settlements surrounding the termination of employment of those who whistleblow. While the report found that all the contracts were legal, it noted that the language used was often complicated and legalistic, a culture of fear deterred public interest disclosures even when they were not in breach of contract, and that the terms were often unnecessarily restrictive, for example by making the existence of the agreement confidential. [113] : 187

Surgeon Peter Duffy wrote about his experiences of whistleblowing following an avoidable death in an independently published book, Whistle In the Wind. [114]

Role in combating coronavirus pandemic Edit

In 2020, the NHS issued medical advice in combating COVID-19 and partnered with tech companies to create computer dashboards to help combat the nation's coronavirus pandemic. [115] [116] During the pandemic, the NHS also established integrated COVID into its 1-1-1 service line as well. [117] Following his discharge from the St. Thomas' Hospital in London on 13 April 2020 after being diagnosed with COVID-19, British Prime Minister Boris Johnson described NHS medical care as "astonishing" and said that the "NHS saved my life. No question." [118] [119] In this time, the NHS underwent major re-organisation to prepare for the COVID-19 pandemic. [120]

In 2015, the UK had 2.6 hospital beds per 1,000 people. [121] In September 2017, the King's Fund documented the number of NHS hospital beds in England as 142,000, describing this as less than 50% of the number 30 years previously. [122] In 2019 one tenth of the beds in the UK were occupied by a patient who was alcohol-dependent. [123]

NHS charity songs under various choir names have become a tradition (usually at Christmas time but not necessarily) and various formation carrying the name of NHS have released singles including:

Watch the video: RWBY. Volume 7 Review