Who Decides Who Decides?: Enabling Choice, Equity, Access, Improved Performance and Patient Guaranteed Care

This book makes the case for 'ordinary' people to get the health and social care which the state has promised them for over 60 years but which has not been delivered. What is the case for choice? How can choice be made real for the individual? What impact can genuine, individually financially-empowered choice have on effective funding, purchasing, delivery, and outcomes? How can a genuine market grow and thrive? How can the quest for choice include the large numbers of NHS and social care staff on whom success depends? The book urges individual financial empowerment, through a life-long health savings account for all NHS and social services.

Table of Contents:
Contents Includes: Why choice? Two concepts of order. Six policy recommendations. The present reforms ‘coherent and right’? What are politicians for? Cancer and “the efficiency myth”. The ‘choice agenda’ and the problem of knowledge. Between the data and the deep blue sea. Coercion, contagion, learning, coaching. My body, but your decision? ‘Concordat’, and shared decision-making. Culture, kultur, and permission to change.

About the Author :
John Spiers, Philip Booth, Neil Russel

Review :
'John Spiers' detailed yet fluent book demonstrates how we can achieve better healthcare for all by harnessing the one economic system that we know is effective in allocating resources efficiently and delivering individuals and families the goods and services they need and want. As well as being of obvious value to those involved in the policy process, this book will be very useful in the world of medical and management education (particularly on MBA courses for those involved in hospital management, and on MA and MSc courses in public sector management) and also for students and teachers of economics-related courses.'From the Foreword by Professor Philip Booth, Institute of Economic Affairs'John Spiers has the gift of presenting complex ideas clearly. This makes this book a challenging offering to current public policy debates.' Professor Michael Connolly, University of Glamorgan 'Wonderful read. As John Spiers shows in this sprightly,erudite, concise book, when you ask the right questions, you get the right answers. He asks what a patient-centred health care system should look like and comes up with novel and pragmatic answers.' Professor Regina E Herzlinger, Harvard Business School