Betraying the NHS: Health Abandoned


Michael Mandelstam


Based on his experiences of helping to fight cuts and closures in Suffolk, Michael Mandelstam delivers a damning verdict on the mismanagement of the NHS at national, regional and local level. He charts the widespread cutbacks and closures, both rural and urban, to clinics, A&E services, beds, wards and scores of community hospitals. He outlines how humane care, particularly for older people, is compromised by the ruthless determination of NHS management to increase patient throughput and hit government-set targets.

The author highlights how the chaotic change to the NHS is being driven by concealed agendas – including privatisation of the NHS, obsessive interference from central government as well as selective use, if not abandonment, of evidence-based practice. Seriously flawed and damaging decisions are the result, affecting the population at large as well as those most vulnerable – older people with chronic and complex needs, people with physical or learning disabilities and people with mental health problems.

Above all, he exposes the scandalous lack of transparency and accountability behind changes that threaten to destroy the NHS.


‘Mandelstam’s evaluation is incisive and an indictment of management in healthcare… This book should be relevant to all concerned with the future funding and provision of healthcare in the UK – just about everyone who pays taxes.’

– Journal of Community Nursing

‘A useful reference for those current illustrations of the state of the NHS’

– Speech and Language Therapy in Practice

‘It’s a spirited, engaging and intelligent book and deserves wider publicity and readership.’

– Leveson Newsletter

‘The book’s pity title hints at the sharp writing style that continues throughout this chunky tome. The gardening and harvesting metaphors for section headings and the intensely political subject matter indicated a treat of a read ahead.’

-Mental Health Care Practice

Book Details

  • Publisher: Jessica Kingsley Pub; 1 edition (June 17, 2007)
  • Language: English
  • ISBN-10: 1843104822
  • ISBN-13: 978-1843104827


This content is for gold members only. Log In or Register to see
Tags: , , , , ,

Comments are closed.