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Institutional work and innovation in the NHS: the role of creating and disrupting

Checkland, Kath and Parkin, Stephen and Bailey, Simon and Hodgson, Damian (2017) Institutional work and innovation in the NHS: the role of creating and disrupting. In: In: Managing Improvement in Healthcare. Attaining, Sustaining and Spreading Quality. Palgrave Macmillan. (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:70076)

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Abstract

We use the lens of ‘institutional work’ to explore the implementation of innovative projects within the NHS in England, designed to improve access to primary care services. We report a qualitative process evaluation of the implementation. We highlight the conflicting institutional logics at work across the field, and provide some examples of creating and disrupting institutional work required to bridge them. We explore the enabling conditions which may have allowed our participants to temporarily transgress the institutional constraints within which they worked. We provide evidence which may be of practical use for those seeking to innovate in this way, and ask whether or not these micro-level acts of creation and disruption may, in the longer term, accumulate towards wider institutional change.

Item Type: Book section
Subjects: H Social Sciences
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Simon Bailey
Date Deposited: 14 Nov 2018 11:48 UTC
Last Modified: 26 Sep 2019 09:15 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/70076 (The current URI for this page, for reference purposes)
Bailey, Simon: https://orcid.org/0000-0001-9142-2791
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