The Value of NHS Independence March 15, 2008
Posted by western4uk in Change, Corporate Governance, Decision Making, Governance, Grey Literature, Management, NHS.Tags: Grey Literature, Organisational Design, NHS, Governance, Public Value
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An independent NHS: what’s in it for patients and citizens? a report, from the Picker Institute, considers the potential value of independence for the NHS from government control from the point of view of the public, rather than politicians, clinicians or NHS management. It suggests using the BBC Charter model greater independence for the NHS from the government may offer benefit to patients and citzens if Public Value approach is applied greater by promoting mature debate over values, funding levels, and delivery options, thereby giving effective ‘authorisation’ (a democratic mandate)
to a more ‘independent’ NHS Authority. The Authority can then both be empowered to get on with the job for an
agreed period and be held to account at the national and local levels, and at the individual patient and public/citizen levels.
Public Value in this context should focus the NHS on ‘what the public values’ – in this case, what patients and the public value aboutthe NHS and its services – and on ‘what value is added to the public sphere’, that is, the creation of better health throughout society and better outcomes from care and treatment.

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