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The New NHS in England: Exploring the implications of decision making by Clinical Commissioning Groups and their effect on the selection of private providers

Calovski, Vid (2018) The New NHS in England: Exploring the implications of decision making by Clinical Commissioning Groups and their effect on the selection of private providers. Doctor of Philosophy (PhD) thesis, University of Kent,.

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Abstract

This work explores the commissioning arrangements in the NHS after the adoption of Clinical Commissioning Groups (CCGs). The thesis aims to explore how these new commissioning arrangements have affected the decision making process and why commissioners select the providers that they do. This data is then used to see whether or not the service is being subjected to privatisation as was feared with the introduction of the Health and Social Care Act (2012). This work will begin by exploring definitions of privatisation and marketisation before embarking on a description of the shape of the private sector in the NHS. This is followed by the development of an internal/external pressure conceptual framework, adapted from the work of Pettigrew et al. (1992) to understand the pressures that commissioners may face in the selection of providers. The research was underpinned by symbolic interactionism and studied the work of two CCGs, using example services to explore their decision making processes. The thesis explores the themes that emerged from the data by using the internal/external pressure conceptual framework and then discusses to what extent privatisation has occurred in the NHS using the earlier definitions. The research concludes that the ability of the commissioners to freely select providers is severely limited and that as such, the selection of private providers is clustered in specific services.

Item Type: Thesis (Doctor of Philosophy (PhD))
Thesis advisor: Calnan, Michael
Thesis advisor: Peckham, Stephen
Uncontrolled keywords: Health Policy, Commissioning, NHS, Privatisation, Marketisation
Subjects: H Social Sciences
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research
SWORD Depositor: System Moodle
Depositing User: System Moodle
Date Deposited: 03 Jan 2019 11:10 UTC
Last Modified: 23 Jan 2020 04:15 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/71495 (The current URI for this page, for reference purposes)
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