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Workforce Responses to the Creeping Privatization of the UK National Health Service

Bibliographic Data

ID11211723
AuthorsRebecca Kolins Givan (0000-0002-3543-6432, Cornell University, corresponding author), Stephen Bach (0009-0006-3622-7006, King's College London)
Year2007
Volume71
Issue1
Pages133-153
Publication date2007-01-01
Open AccessYes
TypeARTICLE
VenueInternational Labor and Working-Class History (JOURNAL)
Journal identifiersISSN: 0147-5479 • E-ISSN: 1471-6445
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0147547907000373
OpenAlexW2164942253
LanguageEN
Citations received6
References cited13

When the British National Health Service was founded in 1948, professional employees and support staff, with the exception of family doctors, worked directly for the state. Since the 1980s, private employment in the National Health Service (NHS) has steadily grown. Beginning with the outsourcing of support services, the number of privately-employed workers in the National Health Service has gradually increased. This paper argues that marketization in the health sector has increased dramatically under the New Labour government. As policymakers have moved from ideological to pragmatic justifications for marketization, union opposition has similarly become more pragmatic and less ideological. With unions unable to stop these reforms, they have turned to the practical concerns of their members in partially-privatized workplaces under complex employment arrangements. This article shows that while ideologically opposing marketization, unions and employees have been forced into a more pragmatic position. Research at two privately-funded public hospitals shows that unions in the workplace have used their resources to protect their members, as thwarting the involvement of the private sector is nearly impossible

Business · Economic growth · Economics · Government (linguistics · Ideology · Labour economics · Marketization · Opposition (politics · Outsourcing · Political science · Politics · Private sector · Public relations · Workforce · Employment and Welfare Studies · Labor Movements and Unions · Law · Marketing · Public Administration · Social Policy and Reform Studies

  • Liberalisation and privatisation of public services and strategic options for European trade unions

    Open Access•Thorsten Schulten, Torsten Brandt et al.•Transfer European Review of…•2008

  • An overview of the anti-privatization struggles during the AKP era

    Open Access•Şafak SAĞLAM•Turkish Studies•2024

  • Public Sector Unionization and Government Contracting

    Open Access•Jiahuan Lu, Yiying Chen et al.•The American Review of Public…•2023

  • Welfare State Politics in Privatization of Delivery

    Open Access•Amos Zehavi•Comparative Political Studies•2012

  • The Dualisation of Teacher Labour Markets, Employment Trajectories and the State in France

    Open Access•Caroline Bertron, Anne-Elise Vélu et al.•Work Employment and Society•2024

  • La dualisation de l'emploi enseignant en France

    Xavier Dumay•Revue Française de Sociologie•2025

  • The Politics of Privatisation

    Open Access•Kate Ascher•The Politics of Privatisation•1987

  • Hard Work

    Open Access•R Stanwell-Smith•Proceedings of the Royal Society…•2003

  • Managed competition, governmentality and institutional response in the United Kingdom

    Open Access•Donald W Light•Social Science & Medicine•2001

  • Going privately

    Open Access•D Grimshaw, Steve Vincent et al.•Public Administration•2002

  • Wage Policy and the Health Service

    C W Guillebaud, H A Clegg et al.•The Economic Journal•1958

  • PPPs and the Changing Public Sector Ethos

    Open Access•Gail Hebson, D Grimshaw et al.•Work Employment and Society•2003

  • Changes in Skills-Mix and Pay Determination Among the Nursing Workforce in the Uk

    Open Access•D Grimshaw•Work Employment and Society•1999

Citations per year0.33
Citation span2008 - 2025 (18)
Highly citedNo

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