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On the character of the new entrepreneurial NHS in England: reforming health care from within?

Hodgson, Damian E., Bailey, Simon, Exworthy, Mark, Bresnen, Mike, Hassard, John, Hyde, Paula (2021) On the character of the new entrepreneurial NHS in England: reforming health care from within? Public Administration, . ISSN 0033-3298. E-ISSN 1467-9299. (doi:10.1111/padm.12797) (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:91332)

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https://doi.org/10.1111/padm.12797

Abstract

Recent health care reforms in England, combined with financial austerity, have accelerated both corporatization and commercialization in the English National Health Service (NHS) and this has encouraged greater public sector entrepreneurialism (PSE). We advance this argument by examining the meaning and experience of corporatization in this sector, illustrating our argument with qualitative data from a specialist hospital at the forefront of this trend. We demonstrate how the policy and practice of corporatization is entangled with increased commercialism and how this shapes more entrepreneurial conduct from staff. Framed in terms of the recursive relationship between organizational dynamics and individual behaviours, we focus empirically upon the shifting epistemic boundaries associated with increased corporatization, describing the dissonant effects of these shifts upon individuals, their attempts to compartmentalize, and the ethical dilemmas that result. Through this case we draw conclusions about the emerging impact of corporatization, commercialization, and public sector entrepreneurialism across public services.

Item Type: Article
DOI/Identification number: 10.1111/padm.12797
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: Simon Bailey
Date Deposited: 04 Nov 2021 11:39 UTC
Last Modified: 25 Nov 2021 12:34 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/91332 (The current URI for this page, for reference purposes)
Bailey, Simon: https://orcid.org/0000-0001-9142-2791
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