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Who Cares?: True Stories of the NHS Reforms [Paperback]

Peter Bruggen
4.3 out of 5 stars  See all reviews (3 customer reviews)
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Product details

  • Paperback: 320 pages
  • Publisher: Jon Carpenter (23 May 1997)
  • Language: English
  • ISBN-10: 1897766327
  • ISBN-13: 978-1897766323
  • Product Dimensions: 23.1 x 15.5 x 2.3 cm
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Bestsellers Rank: 1,377,063 in Books (See Top 100 in Books)

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Product Description


A report on the consequences of the NHS reforms for staff and patients, based on interviews with over 100 people.

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Customer Reviews

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4.3 out of 5 stars
4.3 out of 5 stars
Most Helpful Customer Reviews
1 of 1 people found the following review helpful
By A Customer
This is a remarkable book. The author has taken a deceptively simple approach to a subject that remains shouded in mystery and mis-leading statistics because of its complexity. It is an eminently readable series of stories that build up a picture of what the NHS feels like to work in and what it can feel like to be treated in its institutions. The book has made a significant contribution to any future medical anthropologies of health care in Britain because it so powerfully creates a sense of how it can feel to be on the inside of the NHS, but is also extremely well-informed from a technical point of view. What are we supposed to do about what we read? Here Dr. Bruggen is true to his discipline as a therapist and is firmly in the "depressive position", in the Kleinian sense. No manic exhortations to external changes are presented, rather a gentle but persistent appeal to face some painful realities and to change our internal perspectives on these challenges.
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'Who Cares?' was published in 1997, but Peter Bruggen's detailed description and analysis of the effects of the NHS reforms on patients and staff are still topical in 2014: little has changed. Bruggen highlights the difficulties experienced by NHS workers, giving numerous examples based on his interviews with clinicians and managers. He sends a powerful message to NHS employees: we are not alone. That in itself may help to raise morale and open up the possibility of our searching for a more humane way of working together to provide a better NHS. Highly recommended reading for anyone involved with health and social care.
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4.0 out of 5 stars book 14 Mar 2014
By Sean
Format:Paperback|Verified Purchase
it is a good book to look certain thing up about the NHS, did help me for my essay in uni
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Most Helpful Customer Reviews on Amazon.com (beta)
Amazon.com: 5.0 out of 5 stars  2 reviews
5.0 out of 5 stars The NHS reforms as experienced by someone on the frontline 30 April 1999
By A Customer - Published on Amazon.com
Peter Bruggen brings clarity to an area clouded by rhetoric and spin. The book is written with regret, not bile. The torchlight of Bruggen's writing illuminates the day on day effects of Thatchers radical agenda. Avoiding polemic, the book explores the good, the bad and the ugly -through personal incident rather than cold statistics. Bruggen speaks lucidly from first hand experience. His scope is refreshingly human in scale -constructive not destructive in tone. However, the pure weight of the evidence so persuasively presented will challenge even the most ardent Thatcherite. Don't claim to have an opinion on the subject unless you've read this book.
5.0 out of 5 stars Insightful account of public health reforms in Britain 23 April 1999
By A Customer - Published on Amazon.com
Peter Bruggen tellls us about the NHS reforms from within the health service. There are accounts, from a wide range of health practitioners about what it was actually like to work in a health service undergoing so much change . The book paints an intriguing but disturbing picture of a bureaucratic system, where management practices and budgets are becoming more important than health care and patient needs. A compelling book for anyone whose life has been touched by the British national health service
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