Power and Influence in the NHS: Oceans Without Continents

Power and Influence in the NHS: Oceans Without Continents


By (author) Geoff Meads, Foreword by Peter Dickinson


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  • Publisher: Radcliffe Publishing Ltd
  • Format: Paperback | 76 pages
  • Dimensions: 156mm x 234mm x 4mm | 121g
  • Publication date: 1 April 1997
  • Publication City/Country: Oxford
  • ISBN 10: 1857752708
  • ISBN 13: 9781857752700
  • Edition: New edition
  • Edition statement: 1st New edition

Product description

Explains the NHS as a political environment, and concentrates on understanding the relationships of power rather than on the role of apparent authority. The book presents a range of management frameworks and personal examples to illustrate what a primary-care-led NHS means.

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Table of contents

Manifesto: from planning to political processes of development; translation of contemporary NHS into wider UK health care environment. The balance of power: devolution and difference - the impact of general practice fundholding; the scale of NHS internal change; achieving a new balance of power. Revolution: impact of choice; implications for public accountability of NHS structural change; subsidiarity and development. The dark ages: decline in NHS standards of behaviour and morale; a new paradigm of public accountability; the spiritual dimension. Counter revolution: European influences; consumerist influences; demand pressures. Renaissance: leadership by participant - observers in the NHS; modern UK health care leaders and their methods. Reformation and enlightenment: the subjective reality of the modern NHS; creating a new orthodoxy for the NHS; future hopes.