|01||Dementia V Mental Wellbeing||20080701|
Dementia and mental health care services are always pressed when budgets are tight, yet both are areas of increasing importance that seldom get the attention they deserve. The burden on families and carers of dementia sufferers is intense while in the case of mental health, the cost to society is huge. Alzheimer's patients and their families are challenging NICE's rulings about drug treatments in court; mental health advocates are calling on greater provision of effective but costly talking therapies over traditional drug treatments. So who gets priority?
|02||What Responsibilities Do Patients Have To The Nhs?||20080708|
To what degree should patients be held responsible for conditions caused by their lifestyles? If someone continues to drink after they've been diagnosed and treated for cirrhosis of the liver, should doctors deny further treatment and spend the money on preventing others falling into the same situation?
It's a grey and difficult area - heavy drinking can be a product of social factors and genetic predisposition, yet some specialists feel they are treating lost causes. Health promotion is one of the most vulnerable health service budgets, and its messages are often ignored - so is it time to give more money to promoting healthy lifestyles and will people listen?
In the last decade the NHS in England has used the private sector on an unprecedented scale. Critics claim that private sector involvement drives down standards in a bid to maximise profits, whereas supporters claim that commerical instinct has brought much-needed efficiency, competition and a focus on treating patients as consumers. To what extent should the private sector be involved in the NHS?
|04 LAST||Who Pays? The Financial Future Of The Nhs * *||20080729|
The idea of a health service free to all has been the cornerstone of the NHS. We are spending more than ever, but the expectations of healthcare and the costs of providing it are continually rising. Can these be met out of taxation, or will patients who can afford it increasingly top up their care? How much longer can the founding principles of the NHS remain intact?