Tag Archives: choice

Perfect markets need choice. If providers collude in pricing, say because they aren’t that many of them, the consumer doesn’t get a choice, and often has to pay through the teeth to obtain the product. For products which are the same, for example a biological detergent, the choice comes from variation in ‘adding value’ such as perfume. A similar argument holds for paying to have your hernia done. The actual service of the actual operation is effectively the same due to constraints posed by the functional anatomy of the human body. But would you like fries with that? In the […]
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Disabled people should not be divided into the ‘cans’ and ‘cannots’. Choice and control are not all-or-nothing characteristics, but can be nurtured through the (extra)ordinary skills of those who take up roles as personal assistants or support workers. By looking at how these relationships play out in real life, people with intellectual disabilities themselves can help us learn more about how to manage practices in respectful ways – and to avoid practices which become neglectful or abusive. Inclusive research, where people take active roles within a project, is in itself a way of achieving ‘choice and control’. And just like […]
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I originally wrote a version of this article for Labour Left in September 2012 following a very successful SHA meeting in Easington County Durham where some dispute had arisen about whether the quasi market in social services offered people more choice. In view of Lord Warner’s astounding support of section 75 quoting the success of competition in social care, it seems timely to reiterate some of the arguments disputing this. The NHS and Community Care Act 1990 was introduced by the Thatcher Government and fully implemented in 1993. Lord Griffith’s recommendation was that money previously going to fund people in […]
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Speech to Reform Conference Tuesday 12th February 2013 by Liz Kendall MP, Shadow Minister for Care and Older People It’s a week since Sir Robert Francis published his report on the failings at Mid Staffordshire Hospital. And – let’s not forget – three months since the Government produced its final report into the scandal at Winterbourne View. Whilst the appalling events at these hospitals do not represent what is happening in the wider NHS or social care, there are serious lessons that must be learnt from the bottom to the top of the system: for providers, commissioners, regulators, Professional bodies – and yes, […]
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Giving NHS patients the right to choose where to be treated for free by any qualified healthcare provider, including private ones if they can meet NHS standards and costs, is one of the most potentially transformative policies of the Coalition Government. It will empower ordinary people to make the kinds of healthcare choices that, frankly, only the rich have been able to make thus far. While few would disagree with the progressive aspect of this, the competition between providers needed to deliver the choice patients want has been controversial. This controversy has largely been manufactured, however, by vested interests on […]
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