The NHS in England is an organisation undergoing substantial change. The passage of the Health and Social Care Act 2012, consolidates and builds on previous health policies and introduces further ‘market-style’ reforms of the NHS. One of the main aspects of these reforms is to encourage private and third sector providers to deliver NHS services. The rationale for this is to foster a more competitive market in healthcare to encourage greater efficiency and innovation. This changing healthcare environment in the English NHS sharpens the need for attention to be paid to the ethical operation of healthcare organisations. All healthcare organisations need to consider the ethical aspects of their operation, whether state or privately run. However, the changes in the type of organisations used to provide healthcare (such as commercial companies) can create new relationships and ethical tensions. This paper will chart the development of organisational ethics as a concern in applied ethics and how it arose in the USA largely owing to changes in the organisation of healthcare financing and provision. It will be argued that an analogous transition is happening in the NHS in England. The paper will conclude with suggestions for the development of organisational ethics programmes to address some of the possible ethical issues raised by this new healthcare environment that incorporates both private and public sector providers.
- Public Policy
- Clinical Ethics
- Ethics Committees/Consultation
- Policy Guidelines/Inst. Review Boards/Review Cttes.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Read the full text or download the PDF:
Other content recommended for you
- Exploratory qualitative study to understand the underlying motivations and strategies of the private for-profit healthcare sector in urban Bangladesh
- Clinical ethicists’ perspectives on organisational ethics in healthcare organisations
- Exploring determinants of health provider choice and heterogeneity in preference among outpatients in Beijing: a labelled discrete choice experiment
- Equitable coverage? The roles of the private and public sectors in providing maternal, newborn and child health interventions in South Asia
- Any qualified provider: a qualitative case study of one community NHS Trust's response
- Health systems should be publicly funded and publicly provided
- The Concise Argument
- Tuberculosis diagnosis and management in the public versus private sector: a standardised patients study in Mumbai, India
- The future of the NHS—irreversible privatisation?
- Further privatisation is inevitable under the proposed NHS reforms