Has Labour decentralised the NHS? Terminological obfuscation and analytical confusion

Greener, Ian and Exworthy, Mark and Peckham, Stephen and Powell, Martin (2009) Has Labour decentralised the NHS? Terminological obfuscation and analytical confusion. Policy Studies, 30 (4). pp. 439-454. ISSN 0144-2872. (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)

The full text of this publication is not available from this repository. (Contact us about this Publication)
Official URL


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
Uncontrolled keywords: decentralisation; health policy; National Health Service; New Labour; primary care trusts; New Labour
Subjects: J Political Science > JN Political institutions (Europe) > JN101 Great Britain
R Medicine > RA Public aspects of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 04 Jul 2012 10:29
Last Modified: 17 Oct 2014 10:06
Resource URI: https://kar.kent.ac.uk/id/eprint/29782 (The current URI for this page, for reference purposes)
ORCiD (Peckham, Stephen): http://orcid.org/0000-0002-7002-2614
  • Depositors only (login required):