Decommodification In Social Care Essay

However, what happens when the roles of the classes turn? This is Karl Marx predicts within his book The Communist Manifesto. The proletariats are the class considered to be the working class, right below the bourgeoise in terms of economic gain. Karl Marx discusses the number ratio between the two classes and discloses the fact that the proletariat outnumber the bourgeoise. Within the class is a sense of belonging, the bourgeoise live their lavish lives and have most of the say so when it comes to power. Most laws and regulations work in the favor of the bourgeoise class, while the working proletariat class is the class of struggle. This is where it ties into man’s self-alienation. Marx’s idea that the working man has alienated himself from humanity by becoming a machine of society, no longer being able to think for himself but rather only thinking of survival and mass production. By focusing on production for the bourgeoise, man is unable to relate to himself or others around him. He is alienated in the fact that he no longer belongs to a community but more so to a factory. This is beneficial to the bourgeoise because they would not have to fear the alliance of the workers against them if each worker felt isolated from one another. Karl Marx describes within his book the overview idea of the working man as a tool for production, a machine himself, isolated

This essay seeks to discuss the factors that facilitate change in health and social care. This can be achieved by assessing the challenges that the major factors of change bring using the Care Quality Commission of the Quality Care Commission for the Royal United Hospital Bath NHS Trust (RUHB). The second task aims to evaluate contemporary changes being inaugurated in the provision of health and social care services. In addition to this, a strategy and criteria will be devised in order to measure these recent changes including how the impact of these changes can be measured and evaluated.

One of the biggest obstacles to successful management of the NHS, and also to any analysis of its current well being, remains the significant lack of any valid information as to what the NHS does, how much it costs and where the money is spent. Indeed, it is perhaps surprising that 'the 1990 changes' were conceived and implemented as fast as they were, given the lack of information that was available in 1988. (Ham, 1996) Attempts were made at the start to ensure that hospitals began from a 'level playing field' so that they were in fair competition with one another, but the sometimes 10 fold differences in the early quoted costs for identical services in different hospitals had as much to do with differing costs of maintaining buildings

Some of the key arguments that exist in today’s NHS are how it is organised and managed, and how it is to be funded. Should the government pay for it? Should the taxpayers pay for it? Or should it be privately run?

NHS system, a retired person has the same access to healthcare as any other age group in the

After the serious shortcomings within the Mid-Staffordshire NHS Trust came to light, The Francis Report (Francis, 2013) investigated how the conditions of inexcusable care could prevail within the trust. The Francis Report proposed several extensive changes that could improve the National Health Service (NHS). Garner (2014) informs that these changes include that leaders need to be effective and accountable, staff should be empowered to work in partnership, each trust should aim to improve innovation and quality, whilst putting the patient first. The Department of Health (DH) reflected on the findings and in response to The Francis

The Health and Social Care Act 2012 came into force with crucial principles including new structures and arrangements in health care services to safeguard and strengthen the future of NHS and maintain the modernisation plan. In this Act, many new changes has been made to a number of existing Acts, National Health Services Act (NHS 2006), in order to enable health care system to tackle the existing challenges and also avoid any potential crisis in future. It has also introduced the proper allocation of NHS fund and budget, and improved the integrated care between NHS and social care services to promote patients’ choice in terms of delivering quality care.

The funding mechanisms for social care services enable service user’s access to a range of services to support themselves in their own homes, institutional care and hospitals. In terms of finances a legislative framework was introduced, resources were transferred from the National Health Service and the Department of Social Security to local authorities, and social work departments were given a key role in the planning, assessment and commissioning of community care services.

was how workers in capitalism are alienated from their work .It covers 4 forms of

Marx was a big proponent for the working-class movement and the equality in terms of property. To him, the issue that is most important to conquer is the issue of the estrangement and alienation of man, where man himself is the alien power over man – more specifically, it is workers who are being estranged (Marx 1988, 79). Consequences of this estrangement can be seen with private property, because although it seems to be the root of the problem, private property is actually the consequence of “alienated labor”, explaining why capitalism is a horror to him (Marx 1988, 81). It may be thought that an easy way to give workers equality would be to pay them equal wages, but this is yet another estrangement of labor (Marx 1988, 82). Progress, to Marx, would need to consist of a way to diminish the root of the problem – estrangement of the worker. This would consist of “emancipation of the workers” because the emancipation of the workers would have a large ripple effect, and result in the universal human emancipation (Marx 1988, 82). As it has been addressed multiple times, the estrangement of the worker is the root of the problem, and a step towards progress would need to consist of the workers being emancipated so they are no longer alienated and forced to labor while getting nothing but monetary payment for their labor. The alienation of workers furthers the issue by leading a society towards private

In line with the majority of other developed countries, the United Kingdom (UK) has offered its citizens a universal health care system that is free at the point of service. Funded primarily by taxation, the system is popular and efficient. However, along with most other health care systems around the world, it faces a series of challenges if it is to maintain viability, in the twenty-first century. These issues include; long waiting times, an aging population, funding challenges and the increasing cost of technology.

The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need

Department of Health (DH) (2001). National Service Framework for Older People. London: Department of Health.

The National Health System began in 1948 with the aim to provide free health care for the English thus removing health access inequities. This essay considers two strengths of the NHS, being free health and locally responsive health care and two weaknesses being the financial burden and unprecedented pressure on health care resources.

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.