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Has Labour decentralised the NHS? Terminological obfuscation and analytical confusion

Greener, Ian, Exworthy, Mark, Peckham, Stephen, Powell, Martin (2009) Has Labour decentralised the NHS? Terminological obfuscation and analytical confusion. Policy Studies, 30 (4). pp. 439-454. ISSN 0144-2872. (doi:10.1080/01442870902899905) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:29782)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.
Official URL:
http://dx.doi.org/10.1080/01442870902899905

Abstract

This article considers the rise of decentralisation as an approach to public-sector

reform generally, and its approach to the British National Health Service (NHS)

specifically. It suggests that the term ‘decentralisation’ is often so poorly defined

that reforms made in its name cannot be assessed to see if they have achieved it as

a goal or not. The article explores the meanings of decentralisation and attempts

to clarify it, before going on to examine, through a review of what four key

commentators have said about it, how health reform under the British New

Labour government, despite often claiming to be decentralising, has often been

centralising instead. The article presents a framework for assessing claims of

decentralisation in public reform more generally, before presenting a specific

example from the NHS.

Item Type: Article
DOI/Identification number: 10.1080/01442870902899905
Uncontrolled keywords: decentralisation; health policy; National Health Service; New Labour; primary care trusts; New Labour
Subjects: J Political Science > JN Political institutions and public administration (Europe) > JN101 Great Britain
R Medicine > RA Public aspects of medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 04 Jul 2012 10:29 UTC
Last Modified: 16 Nov 2021 10:07 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/29782 (The current URI for this page, for reference purposes)

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