“…In recent years the NHS has experienced fundamental change, not just in relation to the management of risk and rationalisation, but also because of increasing levels of privatisation ( Pollock, 2005 ), most recently endorsed in the 2012 Health and Social Care Bill under the guise of ‘re-commodification' (see Scamber et al , 2014) . The impact of such change on NHS practitioners has been to generate new, distinctively managerial responsibilities that, some commentators suggest, shift the responsibility for the distribution of increasingly scarce resources away from governments and onto clinicians and, in some cases, patients themselves ( Maruthappu et al , 2010 ). The ED is a focal point for political and public concern over NHS provision.…”