Sample Essay on:
NHS Decision-making & Services

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Essay / Research Paper Abstract

A 5 page research paper that discusses NHS policy in the UK, particularly in regards to mental health services. Bibliography lists 8 sources.

Page Count:

5 pages (~225 words per page)

File: D0_khnhsmen.rtf

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Unformatted sample text from the term paper:

treated as powerless, both physically and mentally, and this policy is cited as rectifying this situation. However, in 1996, Servian suggested that there was a possible, and less altruistic, rationale for mental health nurses becoming more empowering, which pertains to spiraling costs and rationing of services (Social policy, 2005). The reality of this policy is that mental health nurses, and nurses in general, have found themselves in a position of having, on the one hand, the goal of trying to help people in need to access services; and, on the other hand, having to cope with limited access to restricted services (Social policy, 2005). This brings up the questions of who decides on the services needed and how these decisions are made. The following examination of the ramifications of these issues looks at these questions from both the level of the individuals personal need for services and the level of service planning, in general. Empowerment as service One primary way of rationing resources is to provide information. This intervention assumes that by providing information, the healthcare practitioner has empowered the service user to manage the condition on their own. Powers (2003) suggests that if knowledge is power, then this service intervention gives people power over their own health. This position is acknowledged by the government in its document The Expert Patient (DoH, 2002). However, Powers (2002) also points out that this may not be an intervention that the patient has the power to refuse. Medical staff may employ rationing terminology that marginalizes those individuals who are not willing to accept this responsibility or believe the conveyed knowledge (Social policy, 2005). This type of service user is categorized as "not engaging" or "non compliant," and is perceived as being justifiably discharged from the service "or worse, monitored by ...

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