The new approach focused on the new concept of the patient and citizens who have rights and responsibilities in the policy formulation and health care provision. The welfare state promoted social inequality; there were inequalities associated with health provision (Black et al. , 1980; Townsend, 1979 cited in Edgar, 2010, p. 49). Additionally, there was no popular support for the welfare state and a stigma emerged for the older people. On the other hand, the second period characterized by the ‘ New Right’ promoted respected and autonomy for the individual person or the older person.
The third period sees the patient as both a consumer with human rights that should be upheld by the state and the carer. The Patient’ s Charter 1991promoted the rights of the patient with respect to the NHS, the patient is seen as a consumer with rights. Health care becomes a commodity that an older person possesses and which can be insured. Insurance can provide ‘ repair and replacement’ if healthcare is lost (Seedhouse, 1986 cited in Edgar, 2010, p. 51)New NHS structures were launched by the Government at the turn of the century which emphasized the primary care plan.
This was to carry on the provisions of The Health Act 1999 (legislation. gov. uk) providing for the principles of community and primary care services for all of the UK. The principle underlying the new thrust of the government was to ensure partnership and assessment between government agencies, service users and independent sectors of society and organizations to provide the necessary services. The emphasis of this government policy is to provide care nearest the home of the person needing care. The policy also reduced the patient or service users' dependency on a long period of in-patient care, rather the patient can choose several options that can be provided by local people.
(Sines, 2005, p. 1)Another program of the DoH titled “ Tackling Health Inequalities: A Program for Action” focused on health improvement by requiring local health personnel and primary health care trusts in providing the specific needs of the indigenous population, emphasizing the social and environmental aspects and needs of this particular sector. An important provision of the policy is to develop a partnership between service/care users and care providers and to ensure that all UK citizens acquire the necessary health care services.
(Sines, 2005, p. 1) Societal changes influence the institutions and carers in responding to the needs of older people.
Please type your essay title, choose your document type, enter your email and we send you essay samples