13 of 13 people found the following review helpful
5.0 out of 5 stars
PROMOTING KINDNESS :UNDERSTANDING THE FACTORS THAT THREATEN COMPASSIONATE CARE, 2 Sep 2011
This is an excellent book that reflects on the development of the NHS and the effect of the attempts to reform it in the last 30 years .
It draws on psychoanalysis, social psychology .neuropsychology ,ethology and group relations to examine what facilitates and nurtures compassionate care in Healthcare systems and what threatens it.
The references from each model are diverse and used creatively to develop a framework for developing Intelligent Kindness.Cultural, political and social factors that play into potentially diminishing compassion in our culture as a whole and into the NHS in particular are examined. The emotions experienced by healthcare staff ,they argue, needs bringing into conscious awareness at the individual psychological level of each clinician and manager in order that compassionate care can be nurtured and not destroyed on the individual practitioner level.They then go on to examine multidisciplinary groups and their dynamics , followed by a review of organisational dynamics .They carefully look at these systems and how they are affected by such things as the market economy, growing mistrust of professionals, regulation and performance management.The threat posed by the Industrialisation of Medicine was articulated very powerfully.
I write this review from the USA.I heard this week of a former professor at the local university who had a heart transplant .He had good health insurance but it does not cover the cost of the drugs he needs to take for the rest of his life.He needs $50,000 annually to pay for them.
People are only insured for a defined number of days of in-patient care --after that ?
The NHS is an example of a responsible culture prepared to care for the most vulnerable in society and share the cost .It is one of the greatest innovations in history .It is in need of protection.
All politicians ,policy advisors,health care policy workers, healthcare managers and frontline clinicians should read this highly accessible book in order that they nurture intelligent kindness and protect the good of the NHS.
I highly recommend this book.