A Coleman
Datos Biográficos
| ID | 50927 |
|---|---|
| NOMBRE | A Coleman |
| NOMBRES | A |
| APELLIDO | Coleman |
| FIRMA | COLEMAN A |
| AFILIACIONES | University of Manchester |
| ORCID | 0000-0002-1866-7036 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 36 |
| TOTAL DE CITAS | 153 |
| TOTAL COMO AUTOR | 36 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1954 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 8 |
Understanding and supporting change in health systems using the strategic action fields framework
Policy-driven change in public service systems is difficult to implement. We focus upon ‘sources of authority’, which figure within the Strategic Action Fields Framework (SAFF) as resources mobilized by socially skilled actors to catalyse and sustain change. Drawing on qualitative case studies evaluating a large-scale policy-driven change in the English NHS, the Vanguard New Care Models programme, we (1) expand the definitions of ‘sources of auth…
An investigation of the impact of ‘Living with Covid’ on workplace Covid-19 transmission risk, response and resilience - lessons learnt and future challenges
The findings of the study, which concur with previously published research conducted as part of the PROTECT project, highlight the importance of active reflection on the lessons learned during the course of the pandemic. The study draws on PH and EH teams' perspectives of managing COVID-19 transmission, in an area that was disproportionately affected by the pandemic, in order to add to our understanding of the best ways to ensure preparedness for…
Areas of enduring Covid-19 prevalence
This study is the first to add the voices of Directors of Public Health, who played a crucial role in the local COVID-19 response. Areas of enduring prevalence existed during the pandemic which were caused by a complex mix of structural factors related to inequalities. Participants advised that more research is needed on the effectiveness of mitigation strategies and other measures to reduce the impact of structural inequalities, to better unders…
Public transport
The wealth of experience gained through the COVID-19 pandemic in the public transport sector is extremely valuable. Through reflection on this experience, specific recommendations are made relating to these factors, covering: maintaining links across industry, access to information and data, understanding of mitigation effectiveness, improving messaging, challenges of behavioural mitigations, and clear lines of accountability. The recommendations…
Success” in policy piloting
Research has demonstrated that pilots contain multiple shifting purposes, not all of which relate to simple policy testing or refinement. Judging the success of policy pilots is therefore complex, requiring more than a simple judgment against declared goals. Marsh and McConnell provide a framework against which policy success can be judged, distinguishing program success from process and political success. We adapt Boven's modification of this fr…
Ambiguity and Conflict in Policy Implementation
Policy driven change is challenging, with a significant gap between theory and practice. A key tension in enacting such change is achieving a balance between bottom-up development of local, context-specific approaches, and top-down, centrally determined policy solutions and their mutual sequencing. Ideal type models of the policy-making process envisage a rational ordered approach, driven by evidence and accompanied by ongoing evaluation of outco…
New integrated care models in England associated with small reduction in hospital admissions in longer-term
Closer integration of health and social care services has become a cornerstone policy in many developed countries, but there is still debate over what population and service level is best to target. In England, the 2019 Long Term Plan for the National Health Service included a commitment to spread the integration prototypes piloted under the Vanguard `New Care Models' programme. The programme, running from 2015 to 2018, was one of the largest pil…
Assembling the Healthopolis
Health and care policy is increasingly promoted within visions of the competitive city-region. This paper examines the importance of policy boosterism within the political construction of city-regions in the context of English devolution. Based on a two-year case study of health and social care devolution in Greater Manchester, England, we trace the relational and territorial geographies of policy across and through new "devolved" city-regional a…
Road to Nowhere? A Critical Consideration of the Use of the Metaphor 'Care Pathway' in Health Services Planning, Organisation and Delivery
Metaphors are inescapable in human discourse. Policy researchers have suggested that the use of particular metaphors by those implementing policy changes both influences perceptions of underlying reality and determines what solutions seem possible, and that exploring 'practice languages' is important in understanding how policy is enacted. This paper contributes to the literature exploring the generative nature of metaphors in policy implementati…
Regional assemblage and the spatial reorganisation of health and care
In this paper, we examine how space is integral to the practices and politics of restructuring health and care systems and services and specifically how ideas of assemblage can help understand the remaking of a region. We illustrate our arguments by focusing on health and social care devolution in Greater Manchester, England. Emphasising the open-ended political construction of the region, we consider the work of assembling different actors, orga…
Beyond the parish pump
Where public health professionals sit in a health system in absolute terms is less important than their ability to develop relationships, negotiate their roles, and provide expert public health influence across that system. A conflation between 'population health' and 'public health' fosters unrealistic expectations of the profession. Public health may be best placed to provide leadership for other stakeholders and professional groups working tow…
Being Autonomous and Having Space in which to Act
The optimal balance between central governmental authority and the degree of autonomy of local public bodies is an enduring issue in public policy. The UK National Health Service is no exception, with NHS history, in part at least, a history of repeated cycles of centralisation and decentralisation of decision-making power. Most recently, a significant reorganisation of the NHS in 2012-13 was built around the creation of new and supposedly more a…
Local histories and local sensemaking
Commissioning for health improvement following the 2012 health and social care reforms in England
Our findings suggest that, while some of the intended opportunities to improve population health and create a more joined-up system with clearer leadership have been achieved, fragmentation, dispersed decision-making and uncertainties regarding funding remain significant challenges. There have been profound changes in commissioning processes, with consequences for what health improvement services are ultimately commissioned. Time (and further res…
Making Sense of Inequalities
This research explored how newly forming clinical commissioning groups (CCGs) were beginning to think about their new ‘duty’ to tackle health inequalities (HIs), as outlined in UK health policy. The concept of ‘sensemaking’ (Weick 1995) was used to illustrate the influences on CCGs’ interpretations of the policy. Three CCGs in the North of England were recruited, and qualitative methods, including interviews, observations and document analysis, w…
Views of public health leaders in English local authorities – changing perspectives following the transfer of responsibilities from the National Health Service to local government
This paper reports on the findings of a research project that examined the changes to the public health system in England introduced in 2013. Drawing on case study research and two national surveys the findings explore the impact of organisational change on the composition and role of public health teams. Views and experiences were obtained from public health leaders involved in the transfer of staff and functions from the National Health Service…
The spatial politics of place and health policy
Interrogating Institutional Change
Since the beginning of the 1990s the public healthcare system in England has been subject to reforms. This has resulted in a structurally hybrid system of public service with elements of the market. Utilizing a theory of new institutionalism, this article explores National Health Service ( NHS ) managers' views on competition and cooperation as mechanisms for commissioning health services. We interrogate the extent of institutional change in the …
Like a Circle in a Spiral, Like a Wheel within a Wheel
The inclusion of health and social care as part of Greater Manchester devolution took many by surprise. Health and social care practitioners and managers have been working together in differing ways across the conurbation for many years. The formalisation of this working in a set of new organisational structures brings both opportunities and challenges. The Health and Social Care Act 2012 created new organisations within the English National Heal…
The Devolution Project in Greater Manchester
Embracing the future is second nature in the North West and Greater Manchester in particular is no stranger to innovation and change—as long ago as the 1600s residents were adopting vegetarianism a
Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS
The English National Health Service (NHS) is undergoing significant reorganization following the 2012 Health and Social Care Act. Key to these changes is the shift of responsibility for commissioning services from Primary Care Trusts (PCTs) to general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article is based on an empirical study that examined the development of emerging CCGs in eight case studies across …
Joining it up? Health and Wellbeing Boards in English Local Governance
Statutory responsibility for health care and social care has long been separated between National Health Service (NHS) bodies and local government authorities. Repeated policy attempts to promote service integration through collaboration between such authorities have achieved little. The latest of such policy interventions are the Health and Wellbeing Boards (HWBs) established by the 2012 Health and Social Care Act (HSCA) alongside a range of oth…
Commissioning in the English National Health Service
The English NHS is currently organised around a split between the 'commissioning' and the 'providing' of health care. There has been considerable critical comment about commissioning, focusing upon perceived inadequacies of the regulatory structure and a perceived lack of competence of the managers concerned. In this paper, we use empirical data from two detailed studies of commissioning to propose a third explanation of the difficulties that hav…
Strategies used by Health Scrutiny Committees to Influence Decision-makers
The scrutiny function, designed to enhance and provide a counterbalance to executive decision-making, is a key element in the modernisation of public service delivery in England. Early research expressed concerns about the effectiveness of scrutiny however, with lack of responsiveness by local decision-makers being suggested as one of the main difficulties. This paper applies a model of political influence strategies drawn from the business secto…
Local histories and local sensemaking
Central policies that are only loosely specified might be expected to result in local variations in interpretation and implementation, and practice-based commissioning in the English National Health Service (NHS) is no exception. We show how local ‘sensemaking’ in relation to this policy has been influenced by local histories and by conceptual schemata derived from earlier reorganisations of the NHS. Changes to organisational formalities do not n…
Primary health and social care services in the UK
The spatial politics of place and health policy
Regional assemblage and the spatial reorganisation of health and care
In this paper, we examine how space is integral to the practices and politics of restructuring health and care systems and services and specifically how ideas of assemblage can help understand the remaking of a region. We illustrate our arguments by focusing on health and social care devolution in Greater Manchester, England. Emphasising the open-ended political construction of the region, we consider the work of assembling different actors, orga…
Rethinking collegiality
Local histories and local sensemaking
Central policies that are only loosely specified might be expected to result in local variations in interpretation and implementation, and practice-based commissioning in the English National Health Service (NHS) is no exception. We show how local ‘sensemaking’ in relation to this policy has been influenced by local histories and by conceptual schemata derived from earlier reorganisations of the NHS. Changes to organisational formalities do not n…
Commissioning in the English National Health Service
The English NHS is currently organised around a split between the 'commissioning' and the 'providing' of health care. There has been considerable critical comment about commissioning, focusing upon perceived inadequacies of the regulatory structure and a perceived lack of competence of the managers concerned. In this paper, we use empirical data from two detailed studies of commissioning to propose a third explanation of the difficulties that hav…
Joining it up? Health and Wellbeing Boards in English Local Governance
Statutory responsibility for health care and social care has long been separated between National Health Service (NHS) bodies and local government authorities. Repeated policy attempts to promote service integration through collaboration between such authorities have achieved little. The latest of such policy interventions are the Health and Wellbeing Boards (HWBs) established by the 2012 Health and Social Care Act (HSCA) alongside a range of oth…
Health scrutiny, democracy and integration
Set against the major restructuring of decision-making processes within local government and the wider modernisation agenda for public services, this paper suggests that the scrutiny process (specifically in relation to local authority health scrutiny) can be described in two analytically different, but not necessarily contradictory, ways. It could be seen as a process to increase the levels of local democracy or as a form of integration across d…
Like a Circle in a Spiral, Like a Wheel within a Wheel
The inclusion of health and social care as part of Greater Manchester devolution took many by surprise. Health and social care practitioners and managers have been working together in differing ways across the conurbation for many years. The formalisation of this working in a set of new organisational structures brings both opportunities and challenges. The Health and Social Care Act 2012 created new organisations within the English National Heal…
Interrogating Institutional Change
Since the beginning of the 1990s the public healthcare system in England has been subject to reforms. This has resulted in a structurally hybrid system of public service with elements of the market. Utilizing a theory of new institutionalism, this article explores National Health Service ( NHS ) managers' views on competition and cooperation as mechanisms for commissioning health services. We interrogate the extent of institutional change in the …
Success” in policy piloting
Research has demonstrated that pilots contain multiple shifting purposes, not all of which relate to simple policy testing or refinement. Judging the success of policy pilots is therefore complex, requiring more than a simple judgment against declared goals. Marsh and McConnell provide a framework against which policy success can be judged, distinguishing program success from process and political success. We adapt Boven's modification of this fr…
Ambiguity and Conflict in Policy Implementation
Policy driven change is challenging, with a significant gap between theory and practice. A key tension in enacting such change is achieving a balance between bottom-up development of local, context-specific approaches, and top-down, centrally determined policy solutions and their mutual sequencing. Ideal type models of the policy-making process envisage a rational ordered approach, driven by evidence and accompanied by ongoing evaluation of outco…
Assembling the Healthopolis
Health and care policy is increasingly promoted within visions of the competitive city-region. This paper examines the importance of policy boosterism within the political construction of city-regions in the context of English devolution. Based on a two-year case study of health and social care devolution in Greater Manchester, England, we trace the relational and territorial geographies of policy across and through new "devolved" city-regional a…
The Devolution Project in Greater Manchester
Embracing the future is second nature in the North West and Greater Manchester in particular is no stranger to innovation and change—as long ago as the 1600s residents were adopting vegetarianism a
Structural Interests' in Health Care
Alford's theory of structural interests has been used as a framework within which to analyse health systems across the world. However, authors have often been uncritical in their acceptance of Alford's original analytic categories. In this article we use data from a detailed qualitative study of the introduction of Practice Based Commissioning in the UK NHS to interrogate Alford's work more critically. Disrupting Alford's original categories of '…
Partnerships, performance and primary care
The development of health services in England is currently shaped by three key factors: the active involvement of front-line health professionals (particularly family doctors – general practitioners) in decisions about resource allocation and service development priorities; the promotion of ‘partnerships’ between health and other organisations in order to deliver ‘joined-up’ services; and the close performance management of organisations and prof…
Road to Nowhere? A Critical Consideration of the Use of the Metaphor 'Care Pathway' in Health Services Planning, Organisation and Delivery
Metaphors are inescapable in human discourse. Policy researchers have suggested that the use of particular metaphors by those implementing policy changes both influences perceptions of underlying reality and determines what solutions seem possible, and that exploring 'practice languages' is important in understanding how policy is enacted. This paper contributes to the literature exploring the generative nature of metaphors in policy implementati…
Joint Working
The purpose of this article is to examine the policy and practice of collaboration between health and local government from a health servicesperspective. Within this remit, the authors primarily focus on the area of primary care. Four key elements of the post-1997 policy context are discussed: the move from GP fund-holding to Primary Care Groups and Trusts (PCG/Ts); a shift from treating to preventing illness; a drive for implementation by centra…
Strategies used by Health Scrutiny Committees to Influence Decision-makers
The scrutiny function, designed to enhance and provide a counterbalance to executive decision-making, is a key element in the modernisation of public service delivery in England. Early research expressed concerns about the effectiveness of scrutiny however, with lack of responsiveness by local decision-makers being suggested as one of the main difficulties. This paper applies a model of political influence strategies drawn from the business secto…
Bridging the Gap”
Current policy places great emphasis on the development of “partnerships”, particularly between NHS and local authority services, with the aims of increasing service coordination and delivery and improving health. To this end, primary care groups (PCGs), at the forefront of NHS organizational developments, are required to include a social services representative on their governing boards; similarly, primary care trusts (PCTs) have a social servic…
Estimation of a Growth Allocation Model for North-West England
A version of the Empiric growth allocation model, which forecasts changes in the proportional shares of the distribution of population and two broad categories of employment, has been developed for North-west England using published sources of information. In spite of estimation problems raised by multicollinearity, and evidence of misspecification for the particular simplified form of the model tested, the results of the study generally support …
Morphology of the North Boulonnais Chalk
Morphology of the North Boulonnais Chalk
The Handbook of Geographical Fieldwork
Estimation of a Growth Allocation Model for North-West England
A version of the Empiric growth allocation model, which forecasts changes in the proportional shares of the distribution of population and two broad categories of employment, has been developed for North-west England using published sources of information. In spite of estimation problems raised by multicollinearity, and evidence of misspecification for the particular simplified form of the model tested, the results of the study generally support …
Bridging the Gap”
Current policy places great emphasis on the development of “partnerships”, particularly between NHS and local authority services, with the aims of increasing service coordination and delivery and improving health. To this end, primary care groups (PCGs), at the forefront of NHS organizational developments, are required to include a social services representative on their governing boards; similarly, primary care trusts (PCTs) have a social servic…
Partnerships, performance and primary care
The development of health services in England is currently shaped by three key factors: the active involvement of front-line health professionals (particularly family doctors – general practitioners) in decisions about resource allocation and service development priorities; the promotion of ‘partnerships’ between health and other organisations in order to deliver ‘joined-up’ services; and the close performance management of organisations and prof…
Joint Working
The purpose of this article is to examine the policy and practice of collaboration between health and local government from a health servicesperspective. Within this remit, the authors primarily focus on the area of primary care. Four key elements of the post-1997 policy context are discussed: the move from GP fund-holding to Primary Care Groups and Trusts (PCG/Ts); a shift from treating to preventing illness; a drive for implementation by centra…
Primary health and social care services in the UK
Local authority scrutiny of health
Objective To look at the preparations being made for the introduction of scrutiny of local health services by social service local authorities. Design A baseline postal survey carried out in late 2002 of all social service local authorities in England. Setting Against a backdrop of changing structures and policy, both within local government and the National Health Service (NHS) in England and before the official introduction of health scrutiny i…
Health scrutiny, democracy and integration
Set against the major restructuring of decision-making processes within local government and the wider modernisation agenda for public services, this paper suggests that the scrutiny process (specifically in relation to local authority health scrutiny) can be described in two analytically different, but not necessarily contradictory, ways. It could be seen as a process to increase the levels of local democracy or as a form of integration across d…
Rethinking collegiality
Structural Interests' in Health Care
Alford's theory of structural interests has been used as a framework within which to analyse health systems across the world. However, authors have often been uncritical in their acceptance of Alford's original analytic categories. In this article we use data from a detailed qualitative study of the introduction of Practice Based Commissioning in the UK NHS to interrogate Alford's work more critically. Disrupting Alford's original categories of '…
Local histories and local sensemaking
Central policies that are only loosely specified might be expected to result in local variations in interpretation and implementation, and practice-based commissioning in the English National Health Service (NHS) is no exception. We show how local ‘sensemaking’ in relation to this policy has been influenced by local histories and by conceptual schemata derived from earlier reorganisations of the NHS. Changes to organisational formalities do not n…
Strategies used by Health Scrutiny Committees to Influence Decision-makers
The scrutiny function, designed to enhance and provide a counterbalance to executive decision-making, is a key element in the modernisation of public service delivery in England. Early research expressed concerns about the effectiveness of scrutiny however, with lack of responsiveness by local decision-makers being suggested as one of the main difficulties. This paper applies a model of political influence strategies drawn from the business secto…
Commissioning in the English National Health Service
The English NHS is currently organised around a split between the 'commissioning' and the 'providing' of health care. There has been considerable critical comment about commissioning, focusing upon perceived inadequacies of the regulatory structure and a perceived lack of competence of the managers concerned. In this paper, we use empirical data from two detailed studies of commissioning to propose a third explanation of the difficulties that hav…
Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS
The English National Health Service (NHS) is undergoing significant reorganization following the 2012 Health and Social Care Act. Key to these changes is the shift of responsibility for commissioning services from Primary Care Trusts (PCTs) to general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article is based on an empirical study that examined the development of emerging CCGs in eight case studies across …
Joining it up? Health and Wellbeing Boards in English Local Governance
Statutory responsibility for health care and social care has long been separated between National Health Service (NHS) bodies and local government authorities. Repeated policy attempts to promote service integration through collaboration between such authorities have achieved little. The latest of such policy interventions are the Health and Wellbeing Boards (HWBs) established by the 2012 Health and Social Care Act (HSCA) alongside a range of oth…
Like a Circle in a Spiral, Like a Wheel within a Wheel
The inclusion of health and social care as part of Greater Manchester devolution took many by surprise. Health and social care practitioners and managers have been working together in differing ways across the conurbation for many years. The formalisation of this working in a set of new organisational structures brings both opportunities and challenges. The Health and Social Care Act 2012 created new organisations within the English National Heal…
The Devolution Project in Greater Manchester
Embracing the future is second nature in the North West and Greater Manchester in particular is no stranger to innovation and change—as long ago as the 1600s residents were adopting vegetarianism a
Interrogating Institutional Change
Since the beginning of the 1990s the public healthcare system in England has been subject to reforms. This has resulted in a structurally hybrid system of public service with elements of the market. Utilizing a theory of new institutionalism, this article explores National Health Service ( NHS ) managers' views on competition and cooperation as mechanisms for commissioning health services. We interrogate the extent of institutional change in the …
Local histories and local sensemaking
Commissioning for health improvement following the 2012 health and social care reforms in England
Our findings suggest that, while some of the intended opportunities to improve population health and create a more joined-up system with clearer leadership have been achieved, fragmentation, dispersed decision-making and uncertainties regarding funding remain significant challenges. There have been profound changes in commissioning processes, with consequences for what health improvement services are ultimately commissioned. Time (and further res…
Making Sense of Inequalities
This research explored how newly forming clinical commissioning groups (CCGs) were beginning to think about their new ‘duty’ to tackle health inequalities (HIs), as outlined in UK health policy. The concept of ‘sensemaking’ (Weick 1995) was used to illustrate the influences on CCGs’ interpretations of the policy. Three CCGs in the North of England were recruited, and qualitative methods, including interviews, observations and document analysis, w…
Views of public health leaders in English local authorities – changing perspectives following the transfer of responsibilities from the National Health Service to local government
This paper reports on the findings of a research project that examined the changes to the public health system in England introduced in 2013. Drawing on case study research and two national surveys the findings explore the impact of organisational change on the composition and role of public health teams. Views and experiences were obtained from public health leaders involved in the transfer of staff and functions from the National Health Service…
The spatial politics of place and health policy
Beyond the parish pump
Where public health professionals sit in a health system in absolute terms is less important than their ability to develop relationships, negotiate their roles, and provide expert public health influence across that system. A conflation between 'population health' and 'public health' fosters unrealistic expectations of the profession. Public health may be best placed to provide leadership for other stakeholders and professional groups working tow…
Political science (32 obras) · Public relations (27 obras) · Law (21 obras) · Public Administration (19 obras) · Sociology (18 obras) · Public Administration (16 obras) · Business (15 obras) · Law (15 obras) · Medicine (15 obras) · Health care (13 obras)