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Record W4300865991 · doi:10.46692/9781847425515.007

Cheques and checks: New Labour’s record on the NHS

2002· other· en· W4300865991 on OpenAlexaboutno aff
Calum Paton

Bibliographic record

Venuenot available
Typeother
Languageen
FieldHealth Professions
TopicHealthcare Systems and Challenges
Canadian institutionsnot available
Fundersnot available
KeywordsLabour wardComputer scienceBusinessOperations managementEconomicsBiology

Abstract

fetched live from OpenAlex

Introduction In some ways, New Labour has presented a tale of two health policies. Inopposition, and in the early years of government, the general line was thatimproving the NHS required the abolition of the internal market rather thana major injection of extra resources. However, as the Conservatives found,claims of improved statistics of health policy failed to convince thepublic, who perceived that the service was getting worse. The mostsignificant evolution of New Labour’s health policy came not with theWhite Paper of December 1997, The new NHS: Modern,dependable (DoH, 1997), but two years later. The decision bythe Chancellor of the Exchequer and the Treasury to “stick to theTory spending limits” for the first two years of the New Labourgovernment meant that structural tinkering (as promulgated by the December1997 White Paper) did not materially change the public’s perceptionof the NHS. It was arguably an ‘evaluation’ in January 2000 bythe independent-minded Labour peer Lord (Robert) Winston in the NewStatesman that the NHS was in a worse state than the healthservice in Poland, and that New Labour had failed to keep its promises(including the abolition of the internal market) that prompted the secondphase (cf Timmins, 2001). Although some of this was later qualified, themessage was clear: the jewel in New Labour’s crown, the NHS, requiredsignificant polishing. This came in the form (first) of the PrimeMinister’s announcement of new money in February 2000 and (second) ofthe NHS Plan, announced in July 2000. This clearly shows that the contextfor New Labour’s health policy, and consideration of the future ofthe NHS, is the background environment of political economy (Paton, 2000,2001). At one level, the key political objective for the NHS (Paton, 2001), in NewLabour’s eyes, is its preservation. However, at another level, thefact that New Labour claims that it had largely achieved its pledges onhealth before launching its NHS Plan (DoH, 2000) suggests that, in healthpolicy, New Labour may have met its more limited objectives yet failed toachieve much.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.013
metaresearch head score (Gemma)0.069
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.090
Threshold uncertainty score0.179

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0130.069
Meta-epidemiology (narrow)0.0000.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0030.008
Science and technology studies0.0040.007
Scholarly communication0.0140.010
Open science0.0020.006
Research integrity0.0060.012
Insufficient payload (model declined to judge)0.0340.003

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.201
GPT teacher head0.439
Teacher spread0.238 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2002
Admission routes1
Has abstractyes

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