Pauline Allen
Biographic Data
| ID | 3761700 |
|---|---|
| NAME | Pauline Allen |
| GIVEN NAMES | Pauline |
| FAMILY NAME | Allen |
| SIGNATURE | ALLEN P |
| AFFILIATIONS | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0001-5598-1684 |
| VERIFIED | Yes |
| TOTAL WORKS | 58 |
| TOTAL CITATIONS | 152 |
| AUTHOR COUNT | 55 |
| EDITOR COUNT | 3 |
| FIRST PUBLICATION YEAR | 1982 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 7 |
Understanding and supporting change in health systems using the strategic action fields framework: The availability and origin of sources of authority
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…
The impact of NHS outsourcing of elective care to the independent sector on outcomes for patients, healthcare professionals and the United Kingdom health care system: A rapid narrative review of liter…
The policy and politics of healthcare corporatisation: The case of the English NHS
When technology precedes regulation: The challenges and opportunities of e-pharmacy in low-income and middle-income countries
The recent growth of medicine sales online represents a major disruption to pharmacy markets, with COVID-19 encouraging this trend further. While e-pharmacy businesses were initially the preserve of high-income countries, in the past decade they have been growing rapidly in low-income and middle-income countries (LMICs). Public health concerns associated with e-pharmacy include the sale of prescription-only medicines without a prescription and th…
Jerome and Augustine on wealth and poverty in Psalms 107–150
The purpose of this article was to compare Jerome’s and Augustine’s sermons on the fifth book of the Psalms with regard to their views on the rich and the poor. After a brief consideration of the different audiences of Jerome and Augustine, we focused on their attitudes to wealth and poverty, and almsgiving and its relationship to eschatology. In both Jerome’s and Augustine’s commentaries we were confronted with problems regarding the nature of t…
Success” in policy piloting: Process, programs, and politics
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…
Challenges of maintaining accountability in networks of health and care organisations: A study of developing Sustainability and Transformation Partnerships in the English National Health Service
Ambiguity and Conflict in Policy Implementation: The Case of the New Care Models (Vanguard) Programme in England
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…
Greek and Latin Letters in Late Antiquity: The Christianisation of a Literary Form
This is the first general book on Greek and Latin letter-writing in Late Antiquity (300–600 CE). Allen and Neil examine early Christian Greek and Latin literary letters, their nature and function and the mechanics of their production and dissemination. They examine the exchange of Episcopal, monastic and imperial letters between men, and the gifts that accompanied them, and the rarer phenomenon of letter exchanges with imperial and aristocratic w…
Agreeing the allocation of scarce resources in the English NHS: Ostrom, common pool resources and the role of the state
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…
New Models of Contracting in the Public Sector: A Review of Alliance Contracting, Prime Contracting and Outcome‐based Contracting Literature
The coordination of public services is an enduring challenge and an important policy priority. One way to achieve collaboration across organizational boundaries, which is being considered in public services such as the English National Health Service (NHS), is through the adoption of alliance contracting, prime provider contracting and outcome‐based contracting. This article reviews the cross‐sectoral literature concerning the characteristics of …
Discretion drift in primary care commissioning in England: Towards a conceptualization of hybrid accountability obligations
In the context of welfare delivery, hybrid organizations mix public and ‘new’ market, social, and professional types of mechanisms and rationales. This article contributes to our understanding of accountability within hybrid organizations by highlighting how accountability obligations can become hybrid, simultaneously formal and informal. Instead of seeing accountability as hybrid only in the sense of the coexistence of types of organizational me…
Being Autonomous and Having Space in which to Act: Commissioning in the 'New NHS' in England
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…
The spatial politics of place and health policy: Exploring Sustainability and Transformation Plans in the English NHS
The impact of quasi-markets on processes and factors affecting the costs of contracting
The aim of this paper is to ascertain the impact of quasi-markets on contracting processes and factors affecting the costs of contracting in Finnish health care in the specific case of laboratory services. By means of a comparative case analysis, we ascertained the changes in organizational contracting practices and identified the actions affecting the transaction costs of contracting in the case of an autonomous municipal enterprise laboratory c…
Hybrids and Professional Communities: Comparing Uk Reforms in Healthcare, Broadcasting and Postal Services
Many countries use state‐owned, for‐profit, and third sector organizations to provide public services, generating ‘hybrid’ organizational forms. This article examines how the hybridization of organizations in the public sector is influenced by interaction between regulatory change and professional communities. It presents qualitative data on three areas of the UK public sector that have undergone marketization: healthcare, broadcasting, and posta…
Interrogating Institutional Change: Actors' Attitudes to Competition and Cooperation in Commissioning Health Services in England
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 …
Maximus, a Cautious Neo-Chalcedonian
The Oxford Handbook of Maximus the Confessor
PART ONE. HISTORICAL SETTING PART TWO. THEOLOGICAL AND PHILOSOPHICAL INFLUENCES PART THREE. WORKS AND THOUGHT PART FOUR. RECEPTION
Oxford Handbook of Maximus the Confessor
"Maximus the Confessor (c.580-662) has become one of the most discussed figures in contemporary patristic studies. This is partly due to the relatively recent discovery and critical edition of his works in various genres, including On the Ascetic Life, Four Centuries on Charity, Two Centuries on Theology and the Incarnation, On the 'Our Father', two separate Books of Difficulties, addressed to John and to Thomas, Questions and Doubts, Questions t…
Collecting Early Christian Letters: From the Apostle Paul to Late Antiquity
Letter collections in late antiquity give witness to the flourishing of letter-writing, with the development of the mostly formulaic exchanges between elites of the Graeco-Roman world to a more wide-ranging correspondence by bishops and monks, as well as emperors and Gothic kings. The contributors to this volume study individual collections from the first to sixth centuries CE, ranging from the Pauline and Deutero-Pauline letters through monastic…
Policy experiments: Investigating effectiveness or confirming direction
In England, ‘policy experiments’ are largely synonymous with the use of randomized controlled trials (RCTs) to test whether one policy ‘works’ better than another. While advocacy of the use of RCTs in public policy presents this as relatively straightforward, even common sense, the reality is different, as shown through analysis of three high profile policy pilots and their evaluations undertaken in health and social care in England in the mid/la…
The Multiple Purposes of Policy Piloting and Their Consequences: Three Examples from National Health and Social Care Policy in England
In England, policy piloting has become firmly established in almost all areas of public policy and is seen as good practice in establishing 'what works'. However, equating piloting with evaluation can risk oversimplifying the relationship between piloting and policy-making.Using three case studies from health and social care - the Partnerships for Older People Projects (POPP) pilots, the Individual Budgets pilots and the Whole System Demonstrator…
The Letters of Gelasius I (492-496): Pastor and Micro-Manager of the Church of Rome
While not completely neglected as a late-antique epistolographer, Gelasius has mainly been considered as a theologian prominent in the Acacian schism and as a forerunner of the mediaeval papacy. This imbalance will be redressed by considering his letters on various problems of his time, such as displaced persons, persecution, ransoming captives, papal property management, social and clerical abuses involving servants, orphans, slaves and slave-ow…
Changing organisations: A study of the context and processes of mergers of health care providers in England
The Multiple Purposes of Policy Piloting and Their Consequences: Three Examples from National Health and Social Care Policy in England
In England, policy piloting has become firmly established in almost all areas of public policy and is seen as good practice in establishing 'what works'. However, equating piloting with evaluation can risk oversimplifying the relationship between piloting and policy-making.Using three case studies from health and social care - the Partnerships for Older People Projects (POPP) pilots, the Individual Budgets pilots and the Whole System Demonstrator…
A socio-legal and economic analysis of contracting in the NHS internal market using a case study of contracting for district nursing
The spatial politics of place and health policy: Exploring Sustainability and Transformation Plans in the English NHS
Policy experiments: Investigating effectiveness or confirming direction
In England, ‘policy experiments’ are largely synonymous with the use of randomized controlled trials (RCTs) to test whether one policy ‘works’ better than another. While advocacy of the use of RCTs in public policy presents this as relatively straightforward, even common sense, the reality is different, as shown through analysis of three high profile policy pilots and their evaluations undertaken in health and social care in England in the mid/la…
The use of standard contracts in the English National Health Service: A case study analysis
Hybrids and Professional Communities: Comparing Uk Reforms in Healthcare, Broadcasting and Postal Services
Many countries use state‐owned, for‐profit, and third sector organizations to provide public services, generating ‘hybrid’ organizational forms. This article examines how the hybridization of organizations in the public sector is influenced by interaction between regulatory change and professional communities. It presents qualitative data on three areas of the UK public sector that have undergone marketization: healthcare, broadcasting, and posta…
Innovation and the English National Health Service: A qualitative study of the independent sector treatment centre programme
Interrogating Institutional Change: Actors' Attitudes to Competition and Cooperation in Commissioning Health Services in England
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 …
Devolution and Patient Choice: Policy Rhetoric versus Experience in Practice
Background: market reforms in England have been identified as making a clear distinction between English health policy and health policy in the devolved systems in Northern Ireland, Scotland and Wales. Patient choice is a high profile policy in the English National Health Service that constitutes significant changes to the demand side of health care. It is not clear what national differences this has led to regarding implementation of policy. Thi…
Contracts in the English NHS: Market levers and social embeddedness
This paper draws parallels between the market trend in the English NHS and Polanyi’s (1957) The Great Transformation: The political and economic origins of our time, Beacon Press: Boston (originally published in 1944 in the United States as The Great Transformation, Rinehart: and Co: New York, and in 1945 in England as Origins of our time, Gollancz: London) account of how the rise of markets provokes a self-protective counter-reaction that tries …
Success” in policy piloting: Process, programs, and politics
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: The Case of the New Care Models (Vanguard) Programme in England
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…
The New Governance Arrangements for NHS Foundation Trust Hospitals: Reframing Governors as Meta‐regulators
New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co‐operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social o…
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…
Organizational Form as a Mechanism to Involve Staff, Public and Users in Public Services: A Study of the Governance of NHS Foundation Trusts
In addition to introducing markets and market‐like structures into public services, New Labour wished to promote the involvement of users and the public in decision‐making in other ways than as individual consumers. One way was to involve the public in the governance of organizations. This could be done by removing public services from state control, and transferring them to mutual ownership; or by increasing public involvement in the governance …
Agreeing the allocation of scarce resources in the English NHS: Ostrom, common pool resources and the role of the state
Discretion drift in primary care commissioning in England: Towards a conceptualization of hybrid accountability obligations
In the context of welfare delivery, hybrid organizations mix public and ‘new’ market, social, and professional types of mechanisms and rationales. This article contributes to our understanding of accountability within hybrid organizations by highlighting how accountability obligations can become hybrid, simultaneously formal and informal. Instead of seeing accountability as hybrid only in the sense of the coexistence of types of organizational me…
Contracts in the National Health Service Internal Market
Challenges of maintaining accountability in networks of health and care organisations: A study of developing Sustainability and Transformation Partnerships in the English National Health Service
How should we evaluate the impacts of policy? The case of Payment by Results and the 18 Week Patient Pathway in English hospitals
Today, qualitative researchers are framing the relationship between qualitative case studies and quantitative evaluation research in positivist terms, seeking dialogue with quantitative researchers on the basis that qualitative case studies hold the potential to develop theory for evaluation programmes and to improve the quality of quantitative research. In the UK health policy literature, however, recent evaluations of major government programme…
Assessing the impact of the NHS Service Delivery and Organisation Research and Development Programme
This article summarises the results of a review of the impact of research funded by the NHS Service Delivery and Organisation Research and Development (SDO) Programme. The review draws primarily on the HERG Payback model, and the outputs and outcomes of SDO research are summarised in each of the five Payback domains: service delivery, policy, practice, research and capacity building. The article also discusses conceptual and methodological proble…
Commissioning research that is used: The experience of the NHS Service Delivery and Organisation Research and Development Programme
English This article discusses the experiences of the NHS Service Delivery and Organisation Research and Development Programme (the SDO) in transferring knowledge from research into practice. In the context of relevant theories, four main difficulties in achieving knowledge transfer are described and two modes of knowledge production are uncovered: one being discipline based, and the other valuing research for its usefulness. In attempting to hol…
Chrysostom and the Preaching of Homilies in Series: A Re-Examination of the Fifteen Homilies in Epistulam ad Philippenses (CPG 4432)
L'intention des deux auteurs est de rediscuter la question, deja largement debattue par les chercheurs, de la provenance des quinze homelies In Epistulam ad Philippenses (CPG 4432) de Jean Chrysostome. Ils presentent la problematique de cette serie et evaluent son homogeneite. Il semble qu'on ne puisse precisement savoir ou furent prononcees ces homelies (Antioche ou Constantinople?). On peut affirmer que les homelies 6 et 7 ont ete prononcees de…
Some Aspects of Hellenism in the Early Greek Church Historians
Studies dealing with the attitudes of various writers of the patristic period towards Hellenism, including the aspect of paideia , have tended to concentrate, up to the present, on a specific writer or time-span. It is no accident that fourth-century writers have loomed large in recent investigations in this area, since the fourth century was pivotal in determining Christian attitudes to pagan literary traditions. Here it is my aim to draw attent…
Kirchengeschichte. Mit dem Leben des Lucian von Antiochien und den Fragmenten eines arianischen Historiographen
Evagrius Scholasticus the Church Historian
Viae Dux
Constantine a Great Christian Monarch and Apostle
Histoire Ecclesiastique
Some Aspects of Hellenism in the Early Greek Church Historians
Studies dealing with the attitudes of various writers of the patristic period towards Hellenism, including the aspect of paideia , have tended to concentrate, up to the present, on a specific writer or time-span. It is no accident that fourth-century writers have loomed large in recent investigations in this area, since the fourth century was pivotal in determining Christian attitudes to pagan literary traditions. Here it is my aim to draw attent…
An Early Epitomator of Josephus: Eustathius of Epiphaneia
Leontii Presbyteri Constantinopolitani Homiliae
Computer and Homily: Accessing the Everyday Life of Early Christians
Les homelies issues des premiers siecles de l'Eglise ont survecu par milliers dans les langues anciennes. Eloignees des formes academiques, elles refletent la vie de tous les jours. Elles comportent des donnees sur la vie quotidienne des premiers chretiens mais ces donnees ont ete sous-exploitees jusqu'a maintenant. L'informatique en permet aujourd'hui une lecture systematique et l'A. se propose d'y proceder en deux temps. D'abord, il examine la …
Stereotypes of Women in Power: Historical Perspectives and Revisionist Views
Introduction--Public and Private: The Paradigm's Power by Arlene W. Saxonhouse Female Officials in Ancient Egypt and Egyptian Historians by V.G. Callender On the Stage, Behind the Curtain: Images of Politically Active Women in the Late Roman Republic by Tom Hillard Julia's Jokes, Galla Placidia, and the Roman Use of Women as Political Icons by Amy Richlin Contemporary Portrayals of the Byzantine Empress Theodora (527-548 A.D.) by Pauline Allen Wo…
Contracts in the National Health Service Internal Market
Chrysostom and the Preaching of Homilies in Series: A Re-Examination of the Fifteen Homilies in Epistulam ad Philippenses (CPG 4432)
L'intention des deux auteurs est de rediscuter la question, deja largement debattue par les chercheurs, de la provenance des quinze homelies In Epistulam ad Philippenses (CPG 4432) de Jean Chrysostome. Ils presentent la problematique de cette serie et evaluent son homogeneite. Il semble qu'on ne puisse precisement savoir ou furent prononcees ces homelies (Antioche ou Constantinople?). On peut affirmer que les homelies 6 et 7 ont ete prononcees de…
The homilist and the congregation: A case-study of Chrysostom’s homilies on Hebrews
The Sixth-Century Greek Homily: A Re-assessment
Preacher and Audience: Studies in Early Christian and Byzantine Homiletics
This volume brings together thirteen studies on Greek-speaking preachers and audiences in a period from the beginning of the second century A.D. to the beginning of the tenth century which has largely been neglected in the modern literature. The chapters represent a collection of case studies of individual preachers or periods of homiletic activity and cover themes including the identity of Greek-speaking preachers, the circumstances of delivery,…
Histoire Ecclesiastique, Livres III-IV
Der Kirchenhistoriker Sokrates. Untersuchungen zu Geschichtsdarstellung, Methode und Person
Preacher and Audience. Studies in Early Christian and Byzantine Homiletics
A socio-legal and economic analysis of contracting in the NHS internal market using a case study of contracting for district nursing
Changing organisations: A study of the context and processes of mergers of health care providers in England
The International Mariology Project: A Case-study of Augustine's Letters
This study of the mariology of the letters of Augustine is part of an international project investigating the development of the cult of Mary before 431. The study argues that the works of authors before this date need to be considered individually, and that negative, ambiguous, or seemingly contradictory findings, as well as data in which Mary figures abundantly, are all valid. The scant role assigned to Mary in Augustine's letters, where she is…
Commissioning research that is used: The experience of the NHS Service Delivery and Organisation Research and Development Programme
English This article discusses the experiences of the NHS Service Delivery and Organisation Research and Development Programme (the SDO) in transferring knowledge from research into practice. In the context of relevant theories, four main difficulties in achieving knowledge transfer are described and two modes of knowledge production are uncovered: one being discipline based, and the other valuing research for its usefulness. In attempting to hol…
Asking the right questions: Scoping studies in the commissioning of research on the organisation and delivery of health services
Scoping studies have been used across a range of disciplines for a wide variety of purposes. However, their value is increasingly limited by a lack of definition and clarity of purpose. The UK's Service Delivery and Organisation Research Programme (SDO) has extensive experience of commissioning and using such studies; twenty four have now been completed.This review article has four objectives; to describe the nature of the scoping studies that ha…
Assessing the impact of the NHS Service Delivery and Organisation Research and Development Programme
This article summarises the results of a review of the impact of research funded by the NHS Service Delivery and Organisation Research and Development (SDO) Programme. The review draws primarily on the HERG Payback model, and the outputs and outcomes of SDO research are summarised in each of the five Payback domains: service delivery, policy, practice, research and capacity building. The article also discusses conceptual and methodological proble…
The New Governance Arrangements for NHS Foundation Trust Hospitals: Reframing Governors as Meta‐regulators
New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co‐operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social o…
Political science (35 works) · Business (21 works) · Public relations (21 works) · History (20 works) · Philosophy (19 works) · Economics (18 works) · Law (18 works) · Public Administration (18 works) · Healthcare innovation and challenges (17 works) · Sociology (16 works)