Decentring Health Policy Learning from British Experiences in Healthcare Governance

Taking a ‘decentred’ approach to the analysis of health policy means being attentive to the historical contingencies and circumstances within which reforms are located, the influence of dominant or elite narratives in the shaping of policy, the local traditions and customary practices through which policies are mobilised, and the way local actors contest, negotiate and co-construct policy. This book offers a unique analysis of the changing landscape of healthcare reform in Britain, as an example of decentralized reforms across the developed world. The collection is framed by the recognition that healthcare reform has resulted in variegated and decentralized forms of governance. The chapters look at distinct aspects of reform within the British NHS to bring to light the influence of local histories, traditions, coalitions, and values, in the remaking of a national healthcare system. Each chapter focuses on a different aspects of reform, and in others developing cross-national and comparative analysis. However, each offers a unique contribution and analysis of contemporary theories of healthcare governance. This book will be of key interest to scholars, students and practitioners in healthcare, health and social policy, political science, and public management and governance.

1. Decentring Health Policy: Traditions, Narratives, Dilemmas [Mark Bevir and Justin Waring] 2. Sedimented Governance in the English National Health Service [Lorelei Jones] 3. Governing Professionals in a Decentred State: Case Studies from the English National Health Service [Ruth McDonald] 4. Governing Primary Care: Manipulated Emergence, Ambigious Rules and Shifting Incentives [Kath Checkland] 5. Decentring Patient Safety Governance: Case Studies Four English Foundation Trust Hospital Boards [Tim Freeman, Russell Mannion, Ross Millar and Huw Davies] 6. Network Contra Network: The Gap between Policy and Practice in the Organisation of Major Trauma Care [Justin Waring, Simon Bishop and Bridget Roe] 7. Patient and Public Involvement in the New NHS: Choice, Voice, and the Pursuit of Legitimacy [Graham Martin and Pam Carter] 8. (De)politicising Hospital Closures in Scottish Health Policy, 2000-2016 [Ellen Stewart] 9. Congruence and Incoherence: Public Health Governance and Policy in a Devolved UK [Rob Ralston and Katherine Smith] 10. Welsh Health Governance, or Health Governance in Wales [Scott Greer] 11. Transforming a Public Good into a Private Bad: Political Legitimacy, Wilful Deceit and the Reform of NHS in England [Ewen Speed]

Mark Bevir is Professor in the Department of Political Science, and Director of the Center for British Studies, at the University of California, Berkeley, USA. He is also a Professor in the Graduate School of Governance, United Nations University - MERIT, Maastricht, Netherlands, and a Distinguished Research Professor in the College of Arts and Humanities, Swansea University, UK. Justin Waring a Professor of Organisational Sociology and Associate Dean at Nottingham University Business School, where he founded and directed the Centre for Health Innovation, Leadership and Learning between 2012-2017, at the University of Nottingham, UK.