This version is available at https://strathprints.strath.ac.uk/3727/ Strathprints is designed to allow users to access the research output of the University of Strathclyde. Unless otherwise explicitly stated on the manuscript, Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Please check the manuscript for details of any other licences that may have been applied. You may not engage in further distribution of the material for any profitmaking activities or any commercial gain. You may freely distribute both the url (https://strathprints.strath.ac.uk/) and the content of this paper for research or private study, educational, or not-for-profit purposes without prior permission or charge.Any correspondence concerning this service should be sent to the Strathprints administrator: strathprints@strath.ac.ukThe Strathprints institutional repository (https://strathprints.strath.ac.uk) is a digital archive of University of Strathclyde research outputs. It has been developed to disseminate open access research outputs, expose data about those outputs, and enable the management and persistent access to Strathclyde's intellectual output.A rounded picture is what we need: Rhetorical strategies, arguments, and the negotiation of change in a UK hospital trust. Frank Mueller, John Sillince, Charles Harvey and Chris Howorth AbstractThis article is concerned with the introduction of the agenda of New Public Management (NPM) within the board of a UK Hospital Trust: West London Hospital (WLH). We discuss the literature on New Public Management, including its limitations for analysing the organizational reality of implementing NPM. But we will also be drawing on discourse theory and the literature on rhetoric. The main argument in this article is that in order to understand the reality of the NPM paradigm, we need to study the rhetorical strategies of protagonists involved in the negotiation of the NPM agenda. Rhetorical strategies are means of making general viewpoints more convincing, for example, by comparing 'our' organization with similar organi-zations. Rhetorical strategies show patterns, which reappear in conversations and arguments made by protagonists. Specifically, we identified three rhetorical strategies justifying why and what kind of a more 'rounded picture' was required: widening the argument to include national productivity comparisons with other hospitals; widening the argument away from a narrow focus on finance toward a strategic and political perspective; and, lastly, widening the argument to look at innovation in the whole clinical process.
In this paper, we argue that, rather than aiming at universal contingency relationships, archetype theory needs to go down a path where 'local variants' can be discovered and understood by relating them to their organizational and institutional context(s). The case study of a public sector hospital group in a North German state (Hamburg) is drawn on here to elaborate the argument. We found evidence for a change from a Public Sector hospital archetype to a Public Hospital Corporation archetype. Drawing on this model permits us to explore the impact of the introduction of new forms of public management organization and the implications the managerial ideology underpinning this may have for the professional organization. The study explores the consequences of the innovations for professional/managerial relations. We also suggest that the 'archetype' approach may be particularly useful for the comparative study of organizations. This is particularly pertinent given the different -corporatist -organization of the German health care system and its different approach to public sector reform to that of the Anglo-American and Scandinavian systems where the 'archetypal' approach has so far been applied.
This paper deals with the aftermath of the creation of a new governance structure in the UK National Health Service. We conceptualize this new governance structure as a 'Trust Hospital Archetype' in order to establish the promises and limitations of an archetype transition framework. We find that the 'reality' of the 'Trust Hospital Archetype' is one involving a high degree of contestation. This is confirmed by evidence drawn from interviews, documents, observation and participant observation. In order to analyse contestation, we distinguish between three interpretive schemes -Ideological-New Public Management, Executive Pragmatism and Medical Professionalism; and we outline five scripts -challenging, critiquing, mediating, cautioning and defending. This diversity casts doubt on the usefulness of simplistic managerialism-professionalism dichotomies prevalent in much of the literature. It also suggests modifications to archetype transition theory, which lends too much weight to the role of dominant interpretive schemes.
Resolving the fuelwood problem in Kenya has been the cause of many debates. A review of the literature reveals the changing emphasis on the cause and effect of the problem. The dominant focus links fuelwood consumption with environmental degradation. This view has been perpetuated and reinforced by the`Woodfuel Gap' theory of supply and demand differentials, based on population growth. The demand mitigation has been addressed through the`Fuelwood Orthodoxy' approach and energy technologies. This paper shows that deforestation, and subsequent degradation, has little to do with fuelwood consumption as much is extracted from outside the forest. Therefore, costly interventions of afforestation programmes have had little impact in addressing the issue. The locale-speci®city of the fuelwood problem means there can be no simple, technical solution. The local nature of shortages means that national projections cannot capture the complex socio-economic and cultural issues. Such complexity and diversity of rural contexts demand that the rural energy problem cannot be treated in isolation from the equally pressing issues of poverty, labour, food, culture and values.
Urban agriculture is an illegal activity in most African towns and cities, as it is seen to be competing with other, higher value, urban land uses. Despite this, food production occurs throughout the African urban environment and is crucial to the urban economy; providing employment, food security and investment opportunity for a large proportion of the urban population. Urban agriculture also adds value to urban land, bringing unused land into production, reversing degradation and improving the urban landscape. In the context of a rapidly expanding urban population, food production in Dar es Salaam is playing a crucial role in sustaining the city, employing 210 000 people. Urban agriculture also has an important role to play in providing a viable land use in the hazard lands of Dar es Salaam, as an alternative to squatter housing which exposes the inhabitants to a substantial risk from¯ooding. This paper looks at the role that urban agriculture plays in Dar es Salaam and identi®es the major actors.
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