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The policy work of piloting: mobilising and managing conflict and ambiguity in the English NHS

Bailey, Simon, Checkland, Kath, Hodgson, Damian, McBride, Anne, Elvey, Rebecca, Parkin, Stephen, Rothwell, Katy, Pierides, Dean (2017) The policy work of piloting: mobilising and managing conflict and ambiguity in the English NHS. Social Science & Medicine, 179 . pp. 210-217. E-ISSN 0277-9536. (doi:10.1016/j.socscimed.2017.02.002) (KAR id:75366)


In spite of their widespread use in policy making in the UK and elsewhere, there is a relatively sparse literature specifically devoted to policy pilots. Recent research on policy piloting has focused on the role of pilots in making policy work in accordance with national agendas. Taking this as a point of departure, the present paper develops the notion of pilots doing policy work. It does this by situating piloting within established theories of policy formulation and implementation, and illustrating using an empirical case. Our case is drawn from a qualitative policy ethnography of a local government pilot programme aiming to extend access to healthcare services. Our case explores the collective entrepreneurship of regional policy makers together with local pilot volunteers. We argue that pilots work to mobilise and manage the ambiguity and conflict associated with particular policy goals, and in their structure and design, shape action towards particular outcomes. We conclude with a discussion of the generative but managed role which piloting affords to local implementers.

Item Type: Article
DOI/Identification number: 10.1016/j.socscimed.2017.02.002
Uncontrolled keywords: Policy pilots, policy implementation, policy entrepreneurs, healthcare
Subjects: H Social Sciences
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: Meg Dampier
Date Deposited: 16 Jul 2019 14:02 UTC
Last Modified: 04 Mar 2024 19:20 UTC
Resource URI: (The current URI for this page, for reference purposes)

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