This has been partly achieved, but has come into question recently due to new policies. Originally it was set that everyone was entitled to all services – primary, acute and chronic care. However, the NHS nationalized the existing provision, what this meant was a surge in inequalities due to a lack of spending on health care. It also affected health care on a regional level as funds were restricted on what could be spent and where. The Resource Allocation Working Party (RAWP) allowed allocation of specific machines and materials based on a regional requirement (Mays and Bevan 1987; Royston et al, 1992; Dixon 2001) REFERENCES AND EXAMPLES. Funding levels also became an issue with the countries within the United Kingdom (England, Northern Ireland, Scotland and Wales) The problem was that with the opportunity to study figures it showed that out of the four nations England received the least funding when considering a population based ratio.EXAMPLE. There is currently a concentration on finding an acute care system for those with long-term illness as well as Chronic care because of the influx of disease and illness since the 1980’s. Current policy is being introduced in an attempt to cope with the need to develop self-care and support chronic disease services in the community (Scottish Executive 2003; DoH 2006). Changes in policy since the 1980’s have seen changes made in elderly care, especially for those …show more content…
This principle argues that services are to be granted on the basis of need and the inability to pay. It mostly is perceived as successful. Although inequalities between regions cause judgement which on the benefit of free care. People have reported instances where they have been denied treatment on grounds of their lifestyle or age. Private health care still remains an option which the well off abuse by using it for all instances even when a problem is not very severe. This has also led to policy discussion over waiting lists. As quite often the case is that some people with serious needs are being pushed back rather than those with less serious needs. It can be quite hard to control waiting lists as some patients require priority over others and deciding this can be difficult. (Fotaki et al.