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The Contribution of Social Science Research to Health Policy: The Royal Commission on the National Health Service*

Published online by Cambridge University Press:  20 January 2009

Abstract

This article adopts a case study approach to examine the contribution of social science research to health policy. It concentrates exclusively on the recent Royal Commission on the National Health Service. After describing its background and modus operandi the paper goes on to assess the Report's utilization of social science research, both in its diagnosis and recommendations. This assessment suggests that while the Commissioners made relatively little use of research-based evidence in their diagnosis, their recommendations provide the basis for a substantial increase in the contribution of social sicentists, particularly in the field of health services evaluation.

Type
Articles
Copyright
Copyright © Cambridge University Press 1981

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References

1 Hall, P., Land, H., Parker, R. and Webb, A., Change, Choice and Conflict in Social Policy, Heinemann, London, 1975.Google Scholar

2 Bulmer, M. (ed.), Social Research and Royal Commissions, George Allen and Unwin, London, 1980.Google Scholar

3 Cartwright, T. J., Royal Commissions and Departmental Committees in Britain, Hodder and Stoughton, London, 1975, p. 126.Google Scholar

4 Report of the Royal Commission on the National Health Service (Merrison Report), Cmnd. 7615, HMSO, London, 1979.Google Scholar

5 Draper, P., Grenholm, G. and Best, G., ‘The Organisation of Health Care: A critical view of the 1974 Reorganisation of the National Health Service’ in Tuckett, D. (ed.), An Introduction to Medical Sociology, Tavistock, London, 1976, pp. 254–90.Google Scholar

6 For an account of the failure of the health system to respond to new demographic and social needs see Illsley, R., Professional or Public Health? The Nuffield Provincial Hospitals Trust, London, 1980.Google Scholar

7 Farrell, C., ‘The Royal Commission on the National Health Service’, Policy and Politics, 8, 2 (1980), 189203.CrossRefGoogle Scholar

8 Kogan, M. and Team, Brunel, The Working of the NHS, Research Paper No. 1, HMSO, London, 06 1978.Google Scholar

9 Perrin, J., The Management of Finance in the NHS, Research Paper No. 2, HMSO, London, 07 1978.Google Scholar

10 Klein, R. and Buxton, M., Allocating Health Resources: A commentary on the Report of the Research Allocation Working Party, Research Paper No. 3, HMSO, London, 08 1978.Google Scholar

11 Maynard, A. and Walker, A., Doctor Manpower 1975–2000: alternative forecasts and their resource implications, Research Paper No. 4, HMSO, London, 09 1978.Google Scholar

12 Social Survey Division (OPCS), Patients' Attitudes to the Hospital Service, Research Paper No. 5, HMSO, London, 01 1979.Google Scholar

13 National Consumer Council, Access to Primary Care, Research Paper No. 6, HMSO, London, 02 1979.Google Scholar

14 M. Blaxter, ‘Principles and Practice in Rehabilitation’. Published as Appendix G in the Report of the Royal Commission, op. cit.

15 Smith, G. and Stockman, N., ‘Some suggestions for a Sociological Approach to the Study of Government Reports’, Sociological Review, 20 (1972), 5977.Google Scholar

16 His comments and analyses have appeared regularly in the British Medical Journal over the last five years.

17 See particularly Klein, R., ‘Accountability in the National Health Service’, Political Quarterly, 42 (1971), 363–75CrossRefGoogle Scholar; Policy Making in the National Health Service’, Political Studies, 22 (1974), 114CrossRefGoogle Scholar; Policy Problems and Policy Perceptions in the NHS’, Policy and Politics, 2 (1974), 219–36.CrossRefGoogle Scholar

18 Brown, R. G. S., Reorganising the National Health Service: a case study of administrative change, Blackwell, Oxford, 1979.Google Scholar

19 Lalonde, M., A New Perspective on the Health of Canadians, Ministry of National Health and Welfare, Ottawa, 1974.Google Scholar

20 Central Policy Review Staff, A Joint Framework for Social Policies, HMSO, London, 1975.Google Scholar

21 Numbers in brackets refer to paragraphs in the Royal Commission Report.

22 Crossman, R. H. S., The Diaries of a Cabinet Minister, Hamilton and Cape, London, 1977, 3, pp. 304Google Scholar, 309, 475–6, 483, 489, 496.

23 DHSS, Priorities for Health and Social Services in England, HMSO, London, 1976.Google Scholar

24 Powell, E., Medicine and Politics, Pitman Medical, London, 1966.Google Scholar

25 Crossman, R. H. S., ‘A Politician's View of Health Service Planning’, University of Glasgow, 1972.Google Scholar

26 Klein, , op. cit., ‘Policy Making in the NHS’.Google Scholar

27 Klein, R., ‘Power, Democracy and the NHS’, British Medical Journal (05 1976), 1353.Google ScholarPubMed

28 Brown, , op. cit. 210.Google Scholar

29 Taylor, R., ‘The Local Health System: An Ethnography of Interest Groups and Decision-Making’, Social Science and Medicine, 11 (1977), 583–92.CrossRefGoogle ScholarPubMed

30 Taylor, R., ‘The Local Health System: Observations on the Exercise of Professional Influence’, Health and Social Service Journal (07 1978) Centre Eight Papers B27–32.Google ScholarPubMed

31 Kogan, et al. , op. cit. The Working of the NHS, 65.Google Scholar

32 Ibid. 71.

33 Ibid. 127–44, M. Henkel and V. Heyes, Allocation of Responsibilities in Bio-medical engineering: the roles of clinicians in management. Despite the rather forbidding title this is one of the most informative and insightful case studies on the NHS.

34 Green, S., ‘Professional/Bureaucratic Conflict: The Case of the Medical Profession in the NHS’, Sociological Review, 23 (1975), 121–41CrossRefGoogle Scholar; Barnard, K. and Lee, K. (eds), Conflicts in the National Health Service, Croom Helm, London, 1977Google Scholar, especially papers by Elston, A., ‘Medical Autonomy: Challenge and Response’, 2651Google Scholar, and Towell, D., ‘Making Reorganisation Work: Challenges and Dilemmas in the Development of Community Medicine, 167–88.Google Scholar

35 Kogan, , op. cit. 76.Google Scholar

36 Taylor, , op. cit. ‘An Ethnography of Interest Groups and Decision-Making’.Google Scholar

37 Howie, H. B., ‘Problems of Area Planning’, Health Bulletin, 34 (1976).Google ScholarPubMed

38 Klein, R., ‘Living with its disabilities’, British Medical Journal (1979), 848–50.CrossRefGoogle ScholarPubMed

39 I am grateful to Christine Farrell for suggesting this classification in an unpublished paper read at an SSRC Conference on the Social Science Implications of the Report of the Royal Commission on the NHS.

40 Barnard, K., Lee, K. and Reynolds, J., ‘Tracing Decision-Making in the NHS’, 1977Google Scholar, mimeo, and Battye, G., Burdett, F. and Smith, M., ‘Decision-Tracing in the NHS’, 1977, mimeo.Google Scholar

41 Klein, , op. cit. ‘Living with its disabilities’.Google Scholar

42 Hall, P., ‘The Seebohm Committee and the Under-use of Research’, in Bulmer, , op. cit. pp. 6784.Google Scholar