This memorandum contains the replies received from the Department of Health to a series of questions tabled by the Select Committee, on a wide range of issues grouped under the headings of: expenditure; investment, including the private finance initiative (PFI); NHS Plan and reforms, including staffing, pay and contracts, treatment outside the NHS, and the National Institute for Health and Clinical Excellence (NICE); breakdown of spending programme; activity, performance and efficiency; and departmental annual report.

Public expenditure on health and personal social Services 2007 : Memorandum received from the Department of Health containing replies to a written questionnaire from the Committee, written Evidence

This memorandum contains the replies received from the Department of Health to a series of questions tabled by the Select Committee, on a wide range of issues grouped under the headings of: current issues including NHS staffing; salaries and wages of non-NHS staff; retirement projections, dental and medical staff payscales; also included are; general expenditure issues; NHS resources and activity; personal social services resources and activity; capital expenditure and investment and questions on the departmental annual report

Dated May 2007. On cover: Departmental report. The health and personal social services programmes

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

With new devolved administrations in Scotland, Wales and Northern Ireland, this book makes a comprehensive assessment of the impact of devolution on social policy. It provides a study of developments in the major areas of social policy and a full comparison between Scotland, Wales and Northern Ireland. To what extent is it valid to speak of agendas for government driven by social policy? With new governments in each country, has a fresh dynamic been given to the emergence of distinct social policies? The impact of devolution on social policy uses a framework of analysis based on the nature and scope of social policies, ranging from major innovations and policy distinctiveness, to differences in implementation, policy convergence and areas of overlap with UK policies. This framework facilitates an integrated analysis and comparison of social policy developments and outcomes between the four UK nations. An assessment is also made of the ideas and values which have driven the direction of social policy under devolution. With devolution becoming increasingly important in the study of social policy, the book will be of key interest to academics and students in social policy, public policy and politics, and will also be a valuable resource for practitioners involved in policy making.

Three million workers delivered health and social care in the UK in 2019, accounting for a tenth of the workforce. These frontline workers were the nurses, doctors, adult care workers, and Allied Health Professions that worked in our hospitals, GP practices, and care homes. Spending on this workforce is the largest single item of cost on health and social care, with fifty percent of the current spend of a typical UK hospital going on its frontline workforce. The Economics of the UK Health and Social Care Labour Market details the size, occupational composition, geographical coverage, and growth of this workforce. Here, Robert Elliott explains why people work in frontline care and what drives the demand for these workers, details the heavy dependence of UK health and social care on foreign trained workers and explores its consequences, and considers how the labour market for frontline workers operates, how these workers' pay is set, and what has happened to it in recent years. Elliott explores the reasons for the acute shortage of some key frontline occupations and explains why economic theory is essential to understanding the way this labour market works and to constructing coherent and effective policy. Finally, the book proposes policies to improve the efficiency of this market and to resolve the problems that currently plague it.

The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.

Are migrant workers needed to 'do the jobs that locals will not do' or are they simply a more exploitable labour force? Do they have a better 'work ethic' or are they less able to complain? Is migrant labour the solution to 'skills shortages' or actually part of the problem? This book provides a comprehensive framework for analysing the demand for migrant workers in high-income countries. It demonstrates how a wide range of government policies, often unrelated to migration, contribute to creating a growing demand for migrant labour. This demand can persist even during economic downturns. The book includes quantitative and qualitative analyses of the changing role of migrants in the UK economy. The empirical chapters include in-depth examinations of the nature of staff shortages and the use of migrant workers in six sectors: health; social care; hospitality; food production; construction; and financial services. The book' s conceptual framework and empirical findings are of importance to academic and policy debates about labour immigration in all high-income countries. The final chapter presents a comparative analysis of research and policy approaches to assessing labour shortages in the UK and the US. It examines the potential lessons of the UK's Migration Advisory Committee (MAC) for current debates about labour shortages and immigration reform in the US. The book will be of significant interest to policy-makers, stakeholders, academics and students.