Is There Still a Place for Independent Research into Issues of Public Policy in England and Wales in the 1980's? A Case Study from the Field of Health Care: Modelling Hospital Costs

1981 ◽  
Vol 32 (10) ◽  
pp. 851 ◽  
Author(s):  
J. R. Ashford ◽  
M. S. Butts ◽  
T. C. Bailey
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Hospital Costs ◽  
Independent Research ◽  
England And Wales ◽  
Health Care Modelling

Contraception as Health? The Framing of Issue Categories in Contemporary Policy Making

2011 ◽  
Vol 43 (8) ◽  
pp. 930-953 ◽  
Author(s):  
Amy Cabrera Rasmussen
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Health Insurance ◽  
Health Care Reform ◽  
Policy Making ◽  
State Level ◽  
Policy Discourse ◽  
Policy Issues

This study examines the changing classification of contraception vis-à-vis health insurance within legislative, legal, and administrative venues at the state and national levels. It brings together research on categorization and framing in public policy discourse to show (a) how categorization processes shape not only groups of people but also policy issues and (b) how framing can operate not only within issue categories but also to construct issue categories themselves. Through attention to the larger policy-making trajectory and an in-depth state-level case study, the author develops a typology of categorization frames and explores the likely outcomes of categorization in recent health care reform.

scholarly journals ‘From Defensive Paranoia to …Openness to Outside Scrutiny’: Prison Medical Officers in England and Wales, 1979–86

2017 ◽  
Vol 62 (1) ◽  
pp. 112-131 ◽  
Author(s):  
Nicholas Duvall
Keyword(s):  
Health Care ◽  
Medical Profession ◽  
Prison System ◽  
House Of Commons ◽  
Home Office ◽  
England And Wales ◽  
Standards Of Practice ◽  
Prison Health ◽  
Prison Environment

This article examines how a branch of medicine based within the criminal justice system responded to a society which by the 1970s and 1980s was increasingly critical of the prison system and medical authority. The Prison Medical Service, responsible for the health care of prisoners in England and Wales, was criticised by prison campaigners and doctors alike for being unethical, isolated, secretive, and beholden to the interests of the Home Office rather than those of their patients. While prison doctors responded defensively to criticisms in the 1970s and 1980s, comparing their own standards of practice favourably with those found in the NHS, and arguing that doctors from outside would struggle to cope in the prison environment, by 1985 their attitudes had changed. Giving evidence to a House of Commons committee, prison doctors displayed a much greater willingness to discuss how the prison system made their work more difficult, and expressed a pronounced desire to engage openly with the rest of the profession to address these problems. The change of attitude partly reflects a desire by the Home Secretary William Whitelaw to make the Prison Service more open, and an acceptance of a need for greater accountability in medicine generally. Most important, however, was a greater interest in prison health care and appreciation of the difficulties of prison practice among the wider medical profession, encouraging prison doctors to speak out. This provides a case study of how a professional group could engage openly with criticisms of their work under favourable circumstances.

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