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The Mental Health Services: A Review of the Statistical Sources and a Critical Assessment of their Usefulness

Published online by Cambridge University Press:  29 January 2018

Alan Maynard  and
Rachel Tingle
Alan Maynard
Affiliation:
Department of Economics and Related Studies, University of York, Heslington, York YO1 5DD
Rachel Tingle
Affiliation:
Department of Economics and Related Studies, University of York, Heslington, York YO1 5DD
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Extract

The National Health Service has entered a period of substantial change. The impending reform of local government (1974) will coincide with considerable reforms in the administrative structure of the N.H.S. (1). In addition, our subject matter—the mental health services—has been the subject of various Government White Papers and policy decisions (2). These reforms are an attempt to increase the efficiency of the service, and throughout their pages reference is made to the need for scientific management and administrative efficiency.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 124 , Issue 581 , April 1974 , pp. 317 - 326
Copyright
Copyright © Royal College of Psychiatrists, 1974 

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References

1. ‘The National Health Service Reorganisation: England.’ Cmnd. 5055, HMSO, August 1972.Google Scholar
2.(a) ‘Better Services for the Mentally Handicapped’ Department of Health and Social Security, Cmnd. 4683, HMSO, June 1971.Google Scholar
(b) ‘Hospital Services for the Mentally Ill.’ Department of Health and Social Security, H.M. (71) 97, December 1971.Google Scholar
3. Culyer, A. J., Lavers, R. J., and Williams, Alan (1971). ‘Social Indicators: Health.’ Social Trends No. 2, 1971, pp. 31–43, HMSO.Google Scholar
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6. From 1970 onwards SH3 data for Wales no longer gives separate information for teaching and non-teaching hospitals.Google Scholar
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11. Whether community care is cheaper is not known. Benefits cannot be measured due to lack of output measures and so cost benefit analysis of this problem is not possible. Costs are usually ill defined as most observers take account of apparent costs (cost of hospital treatment, etc.), but ignore hidden costs (such as the cost to families of caring for mentally ill patients resident in the community).Google Scholar
12. See Circular 84/71. Department of the Environment, 4 November 1971, and the new Local Government Act (1972).Google Scholar
13. ‘The National Health Service Reorganisation: England.’ Cmnd. 5055, HMSO, August 1972.Google Scholar
14. Maynard, Alan (1972). ‘Inequalities in psychiatric care in England and Wales.’ Social Science and Medicine, 6, 221–7.Google Scholar
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