Betraying the NHS
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About the author
Michael Mandelstam has provided independent legal advice and training on health and social care matters to the NHS, local authorities and voluntary organisations for over ten years. He previously worked for ten years at the Disabled Living Foundation and for several years in the Department of Health. He has written a number of widely used legal books, including Community Care Practice and the Law, now in its third edition, An A-Z of Community Care Law, Equipment for Older or Disabled People and the Law, and Manual Handling in Health and Social Care: An A-Z of Law and Practice all published by Jessica Kingsley Publishers.
Based on his experiences of helping to fight cuts and closures in Suffolk, Michael Mandelstam delivers a damning verdict on the mismanagement of the NHS at national, regional and local level. He charts the widespread cutbacks and closures, both rural and urban, to clinics, A&E services, beds, wards and scores of community hospitals. He outlines how humane care, particularly for older people, is compromised by the ruthless determination of NHS management to increase patient throughput and hit government-set targets.The author highlights how the chaotic change to the NHS is being driven by concealed agendas - including privatisation of the NHS, obsessive interference from central government as well as selective use, if not abandonment, of evidence-based practice. Seriously flawed and damaging decisions are the result, affecting the population at large as well as those most vulnerable - older people with chronic and complex needs, people with physical or learning disabilities and people with mental health problems.Above all, he exposes the scandalous lack of transparency and accountability behind changes that threaten to destroy the NHS.
Jessica Kingsley Publishers
; October 2006
320 pages; ISBN 9781846425691Read online
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Title: Betraying the NHS
Author: Michael Mandelstam
In the press
This book is an impressive indictment of the changes made recently by the Government to the National Health Service. The damage these changes have inflicted on the people of Suffolk, especially the elderly and other vulnerable people, is documented in damning and relentless detail. Sadly Suffolk isn't the only place where promises are being broken, the principles of the NHS abandoned, the needs of communities ignored and financial targets ruthlessly pursued regardless of the consequences.Michael Mandelstam's analysis is unanswerable and his criticisms robust. His book should be studied by everyone concerned with how health care is delivered in Britain. If any of the politicians, civil servants or administrators who devised or implemented these changes have the nerve to read it they should hang their heads in shame and resign at once. The author has been generous in the book about the contributions other people, including myself, have made to fighting these changes and exposing their consequences. The truth is that the person who has done the most in this respect is Michael Mandelstam himself. His tireless work, persistence in the face of all kinds of bureaucratic and other obstructions and his considerable expert knowledge of health and social service issues have made him an inspiration to the whole community. I am privileged to have him as one of my constituents.