The contest for control in community health services: general managers and professionals dispute decentralisation

M Exworthy - Policy & Politics, 1994 - bristoluniversitypressdigital.com
General Managers (GMs) represent a relatively new cadre in the British National Health
Service (NHS) who have become closely aligned with central government policy in recent …

Being autonomous and having space in which to act: commissioning in the 'New NHS'in England

K Checkland, R Dam, JON Hammond… - Journal of Social …, 2018 - cambridge.org
The optimal balance between central governmental authority and the degree of autonomy of
local public bodies is an enduring issue in public policy. The UK National Health Service is …

INTERROGATING INSTITUTIONAL CHANGE: ACTORS'ATTITUDES TO COMPETITION AND COOPERATION IN COMMISSIONING HEALTH SERVICES IN …

D Osipovič, P Allen, E Shepherd… - Public …, 2016 - Wiley Online Library
Since the beginning of the 1990s the public healthcare system in England has been subject
to reforms. This has resulted in a structurally hybrid system of public service with elements of …

Room for manoeuvre?: Explaining local autonomy in the English National Health Service

M Exworthy, F Frosini - Health policy, 2008 - Elsevier
Decentralisation has returned as a key theme in English health policy in recent years in
policies such as Patient Choice and Foundation Trusts, among many others. The goal of …

Decentralisation and primary care groups: A paradigm shift for the National Health Service in England?

B Hudson - Policy & Politics, 1999 - bristoluniversitypressdigital.com
English As the National Health Service (NHS) celebrates its 50th birthday, the new Labour
government has proposed a radical shake-up in the way it is organised. The most innovative …

Sedimented governance in the English National Health Service

L Jones - Decentring Health Policy, 2017 - taylorfrancis.com
This chapter aims to develop an account of contemporary healthcare governance that
combines insights from the governance and governmentality literatures. It explores the …

Community involvement in hospital governance in Britain: evidence from before the National Health Service

M Gorsky - International Journal of Health Services, 2008 - journals.sagepub.com
An important goal of policy in the British National Health Service (NHS) is to increase public
involvement in health care governance. In the hospital sector this led in 2003 to the …

Managerialism and active citizenship in Britain's reformed health service: power and community in an era of decentralisation

T Milewa, J Valentine, M Calnan - Social science & medicine, 1998 - Elsevier
The creation of a large managerial stratum within the British National Health Service in
recent years has been one of the most striking characteristics of reforms intended to develop …

Circumstances change cases: local government and the NHS

B Hudson - Social Policy & Administration, 1998 - Wiley Online Library
The role of local government in health care matters in Britain has never been trouble‐free.
From the dissolution of the Boards of Guardians in 1929, through to the creation of the NHS …

Governing primary care: Manipulated emergence, ambiguous rules and shifting incentives

K Checkland - Decentring Health Policy, 2017 - taylorfrancis.com
This chapter explores decentred theory of governance is used as a lens through which to
explore the empirical puzzle posed by the success of successive governments in enrolling …