Power, governance and knowledge : the example of London managed clinical networks for cancer

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

The governance of pluralist health care systems:An initial review and typology

We here argue that study of governance systems within increasingly pluralist health care systems needs to be broadened beyond traditionally public sector orientated literature. We develop an initial typology of multiple governance systems within the English health care sector and derive exploratory questions to inform future empirical investigation. We add to existing literature by considering the coexistence of – and possible tensions between – multiple governance systems in a pluralised health and social care system. </jats:p

Sedimented archetype change in public sector organisations the example of managed clinical networks for cancer

There has been increased interest in the United Kingdom in network-based modes of organising in the public services, as opposed to markets or hierarchies. Such multi-organisational working has also been seen in recent reforms in health and social services in Australian and New Zealand (Baehler et al. 2005; Considine 1999). This paper describes findings from five case studies of managed clinical networks for cancer in London and considers whether the network model represents a transformational change in the way that health services are governed in the UK. Rather than representing radical or transformational change, these findings have been theorised as demonstrating sedimented archetype change. These findings have implications for future health policy development, both in the UK and internationally

Accountability in the NHS: Implications of the Government's Reform Programme

The Health and Social care Bill sets out a radical series of reforms for the National Health Service in England. We focus on the implications for accountability by comparing and contrasting current accountability arrangements and practices with how they are likely to operate within the reformed NHS. Different types of accountability are defined. Using the typology a close analysis is made of the nature of accountability of providers and commissioners under the proposed arrangements. Areas for concern are identified