Social Policy, Professional Regulation and Health Support Work in the United Kingdom

Saks, Mike; Allsop, Judith

doi:10.1017/s1474746406003435

Cited by 41 publications

(41 citation statements)

References 5 publications

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“…Drawing on the National Health Service (NHS) in the UK and the corporatist Statutory Health Insurance (SHI) system in Germany, this article compares the dynamics of changing professional governance and public control in the context of different national and institutional arrangements. Material from a number of studies carried out by each of the authors (see, for example, Allsop and Baggott, 2004;Jones, 2006, 2008;Kuhlmann, 2006;Kuhlmann and Saks, 2008;Newman and Kuhlmann, 2007;Saks, 2003;Saks and Allsop, 2007a), together with published secondary sources, supports our analysis.…”

Section: Introductionsupporting

confidence: 66%

“…Witz and Annandale (2006) argue that nursing as a profession has advanced as a result of new health policies and that this is due to financial considerations. Tasks have also shifted down the hierarchy to keep staffing costs low, not only from doctors to nurses, but also from nurses to nursing assistants who may also be subject to regulation (Saks and Allsop, 2007a).…”

Section: Professionalization and Regulation: The State-profession Relmentioning

confidence: 99%

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Professional Governance and Public Control

2009

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Governments across the western world face new demands to achieve greater efficiency and responsiveness in public services. The transformations are most radical and challenging in healthcare where both cost effectiveness and patient safety are major issues. Drawing on the National Health Service in the UK and the corporatist system in Germany, this article compares the dynamics of changing governance and public control in the context of different national and institutional arrangements. The analysis is based on studies carried out by each of the authors and secondary sources. The article addresses three issues: transformations in the governance of physicians who held a dominant position in healthcare; policies to promote the role of service users in defining the 'public interest' and influencing the decisions of providers; and the professionalization and regulation of a broader range of health professions. The comparison between the two countries illustrates different institutional pathways to change and different conceptualizations of the 'public interest' and how it is represented. This demonstrates that not only the government and service users, but also a variety of professional groups, in advancing their own professional projects, may still fundamentally shape the nature and form of public control and new governance practices.

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Section: Introductionsupporting

confidence: 66%

Section: Professionalization and Regulation: The State-profession Relmentioning

confidence: 99%

Professional Governance and Public Control

2009

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“…Professions operating exclusively in the private sector are often viewed as marginalised and lacking the recognition of established professions central to state provision [29,30]. One suggestion for establishing professional control over practice has been the regulation of assistant grade workers in podiatry, which is a common professionalising strategy designed to exclude competition and maintain autonomy [31]. This would, it is surmised, serve to protect the role and scope of the generalist practitioner whilst continuing to enable extensions of role boundaries at the upper end, in line with policy initiatives and professional aspirations.…”

Section: Discussionmentioning

confidence: 99%

The impact of workforce redesign policies on role boundaries in `generalist¿ podiatry practice: expert views within the professional body

Stressing

Borthwick

2014

Journal of Foot and Ankle Research

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Background: Demographic changes and a predicted rise in the prevalence of chronic illness have led to a range of health policies in the UK (and elsewhere) focused on workforce flexibility and extended roles for the allied health professions. Whilst much academic attention has been paid to extended specialised roles for allied health professionals such as podiatrists, little work has addressed the likely impact of these policy changes on nonspecialist, 'generalist' podiatry practice. This study aimed to explore expert professional views on the impact of role flexibility on generalist podiatry practice. Methods: Expert podiatry practitioners drawn from within the professional body, the Society of Chiropodists and Podiatrists/College of Podiatry were recruited to 3 focus groups and 4 individual semi structured interviews and the data subject to a thematic analysis.

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“…For instance, some nurses and pharmacists have enhanced roles in diagnosing and prescribing for a specific range of conditions. A large and diverse workforce of health support workers has developed (Saks and Allsop, 2007) and there is a drive to integrate care through multiprofessional teamwork both in the community and in hospital settings. Integrated care models and greater cross-service coordination are also policy goals in Germany, but the effect has been limited (SVR, 2005(SVR, , 2007 with only 1% of the SHI budget allocated for integrated care (Greß et al, 2006).…”

Section: New Forms Of Organisational Governance: Marketisation and Pementioning

confidence: 99%

Professional self-regulation in a changing architecture of governance: comparing health policy in the UK and Germany

Kuhlmann

Allsop

2008

Policy &Amp; Politics

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This chapter compares transformations in professional self-regulation in the UK and Germany through the lens of governance. We introduce an expanded concept of governance\ud that includes national configurations of state–profession relationships and places selfregulation in the context of other forms of governance. The analysis shows that a general\ud trend towards network governance plays out differently. In the UK, a plural structure of network governance and stakeholder arrangements is emerging in the context of stateled change. In Germany, partnership governance between sickness funds and medical associations shape the transformations and act as a barrier towards the entry of new players

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Social Policy, Professional Regulation and Health Support Work in the United Kingdom

Cited by 41 publications

References 5 publications

Professional Governance and Public Control

Professional Governance and Public Control

The impact of workforce redesign policies on role boundaries in `generalist¿ podiatry practice: expert views within the professional body

Professional self-regulation in a changing architecture of governance: comparing health policy in the UK and Germany

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