Designing Health Service Organization in the UK, 1968 to 1998
From Blueprint to Bright Idea and ‘Manipulated Emergence’
Bibliographic Data
| ID | 10389138 |
|---|---|
| Authors | Stephen Harrison (0000-0001-5951-3300, University of Leeds), Bruce Wood (University of Manchester) |
| Year | 1999 |
| Volume | 77 |
| Issue | 4 |
| Pages | 751-768 |
| Publication date | 1999-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Administration (JOURNAL) |
| Journal identifiers | ISSN: 0033-3298 • E-ISSN: 1467-9299 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9299.00178 |
| OpenAlex | W2028990603 |
| Language | EN |
| Citations received | 28 |
Four sets of reforms of the National Health Service are employed to illustrate the changing character of policy making in this sector over a thirty year period, from the production of a carefully developed technocratic blueprint for its organization to the promulgation of a series of bright ideas accompanied by incentives for local actors to develop them into concrete organizational arrangements consonant with these ideas. We term this latter approach ‘manipulated emergence’ and relate it to the literatures of organizational culture and of post‐Fordism. The approach adopted by the 1997 Labour government is largely, though not wholly consistent with this, and it remains to be seen whether the high‐water mark of manipulated emergence has passed
Blueprint · Economics · Economy · Government (linguistics · Incentive · Management · Market economy · Political science · Promulgation · Public relations · Service (business · Sociology · Technocracy · Engineering · Healthcare Quality and Management · Healthcare Systems and Challenges · Law · Primary Care and Health Outcomes · Public Administration
Competing institutional logics in public-private hospital arrangements in England
Effects of Public Sector Reforms on the Management of Cultural Organizations in Europe
Medical Autonomy and the UK State 1975 to 2025
Algorithmic emergence? Epistemic in/justice in AI-directed transformations of healthcare
Marketisation and the Public Good
Local histories and local sensemaking
A 'movement for improvement'? A qualitative study of the adoption of social movement strategies in the implementation of a quality improvement campaign
Clinical governance and primary care in the English National Health Service
Public and User Participation in Public Service Delivery
The Evaluation of Complex Health Policy
The Politics of Gender in the NHS
The early days of primary care groups
Notes from a small Island
The Political Implications of Performance Management and Evidence-Based Policymaking
Ambiguous workarounds in policy piloting in the NHS
Making Markets in the E nglish N ational H ealth S ervice
Health Service Organization in the UK
Governance and the Public Good
Policy as Narrative
Success” in policy piloting
Policy Entrepreneurship in the Development of Public Sector Strategy
Tracing Experiences of NHS Change in England
How are policy pilots managed? Findings from the New Rural Cooperative Medical Scheme in China
The Problem of Success and Failure in Public-private Innovation Partnerships
What Makes a Technocrat
Delivering reform in English healthcare
Taking public health out of the ghetto
The policy work of piloting
| Citations per year | 1.08 |
|---|---|
| Citation span | 2000 - 2026 (27) |
| Highly cited | No |