ABSTRACT

Taking a ‘decentred’ approach to the analysis of health policy means being attentive to the historical contingencies and circumstances within which reforms are located, the influence of dominant or elite narratives in the shaping of policy, the local traditions and customary practices through which policies are mobilised, and the way local actors contest, negotiate and co-construct policy.

This book offers a unique analysis of the changing landscape of healthcare reform in Britain, as an example of decentralized reforms across the developed world. The collection is framed by the recognition that healthcare reform has resulted in variegated and decentralized forms of governance. The chapters look at distinct aspects of reform within the British NHS to bring to light the influence of local histories, traditions, coalitions, and values, in the remaking of a national healthcare system. Each chapter focuses on a different aspects of reform, and in others developing cross-national and comparative analysis. However, each offers a unique contribution and analysis of contemporary theories of healthcare governance.

This book will be of key interest to scholars, students and practitioners in healthcare, health and social policy, political science, and public management and governance.

chapter 1|16 pages

Decentring health policy

Traditions, narratives, dilemmas

chapter 3|18 pages

Governing professionals in a decentred state

Case studies from the English National Health Service

chapter 4|18 pages

Governing primary care

Manipulated emergence, ambiguous rules and shifting incentives

chapter 5|20 pages

Decentring patient safety governance

Case studies of four English Foundation Trust Hospital Boards

chapter 6|19 pages

Network contra network

The gap between policy and practice in the organisation of major trauma care

chapter 7|19 pages

Patient and public involvement in the new NHS

Choice, voice, and the pursuit of legitimacy

chapter 9|20 pages

Congruence and incoherence

Public health governance and policy in a devolved UK

chapter 11|18 pages

Transforming a public good into a private bad

Political legitimacy, wilful deceit and the reform of the NHS in England