The new political economy of the UK NHS

Greener, Ian

doi:10.1080/09581590400004279

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…These are structural reforms that, according to the analytical terms in Table 1 (p 3), make relations between GPs and consultants more necessary, at the same time as relations between the state and the doctors as a whole become more contingent. These structural changes are combined with a general predisposition towards market-based solutions (Greener, 2004a(Greener, , 2004b.…”

Section: The Pbc Context: Summarymentioning

confidence: 99%

A realistic evaluation of practice-based commissioning

Greener

Mannion

2009

Policy &Amp; Politics

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The tendency of governments to recycle policy from previous periods presents analysts with the opportunity of assessing their likelihood of success in new time periods. This article presents a theoretical and empirical contribution toward this goal. Its theoretical contribution utilises the work of Pawson and Archer by exploring how context from previous and current periods can be compared and separated from generic policy mechanisms that underpin reforms in order to be able to show how outcomes from the past might be reproduced or transformed in current policy. Its empirical contribution applies this framework to the case of GP fundholding from the 1990s and practice-based commissioning of the 2000s, to show how the latter policy both addresses the difficulties of its predecessor but also makes significant errors that jeopardise its potential for success.

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Section: The Pbc Context: Summarymentioning

confidence: 99%

A realistic evaluation of practice-based commissioning

Greener

Mannion

2009

Policy &Amp; Politics

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“…In particular, we have had an economic crisis of a severity not seen since the 1930s, a governmental response to that crisis, a post-crisis era of policymaking in which ‘austerity’ has become a dominant theme, and most recently the worldwide COVID-19 pandemic. This paper critically re-examines Jessop’s framework within the light of events after 2002, updating the framework and then applying it to a specific case—that of health policy—an area which previous work using the framework has examined (Greener 2004a , b ) and which Jessop notes as being especially important in terms of future work to be developed (Jessop 2002 , p. 152). Before then, however, it explores existing accounts of the governance of healthcare so that the paper can make clear its additional contribution to them.…”

Section: Introductionmentioning

confidence: 99%

The changing governance of welfare: revisiting Jessop’s framework in the context of healthcare

Greener

2020

Soc Theory Health

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This paper revisits Jessop’s governance of welfare framework, suggesting that in the post-financial crisis era of austerity we need to look again at its analytical dimensions. The paper reformulates Jessop’s Schumpeterian Welfare Postnational Regime ideal-type framework through critique, and then applies its reformulated Galbrathian, Affluent Postnational Oligarchy ideal-type to the case of the English NHS to present a new political economy of health.

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The new political economy of the UK NHS

Cited by 2 publications

References 30 publications

A realistic evaluation of practice-based commissioning

A realistic evaluation of practice-based commissioning

The changing governance of welfare: revisiting Jessop’s framework in the context of healthcare

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