Clinical audit in the NHS internal market: from peer review to external monitoring. / Exworthy, Mark.

In: Public Policy and Administration, Vol. 13, No. 2, 1998, p. 40-53.

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Clinical audit in the NHS internal market: from peer review to external monitoring. / Exworthy, Mark.

In: Public Policy and Administration, Vol. 13, No. 2, 1998, p. 40-53.

Research output: Contribution to journalArticle

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Exworthy, Mark. / Clinical audit in the NHS internal market: from peer review to external monitoring. In: Public Policy and Administration. 1998 ; Vol. 13, No. 2. pp. 40-53.

BibTeX

@article{c320071d9fb84bd0b2b729ec3767509f,
title = "Clinical audit in the NHS internal market: from peer review to external monitoring",
abstract = "Relations between managers and professionals in the public sector have often centred on the control of work performance. Work performance strategies and techniques have been transformed by recent public sector policies involving managerialisation and quasi-markets. In particular, the clinical audit programme in the National Health Service has traditionally been the preserve of professionals, mainly doctors but managers and purchasers have become more involved recently. Based on an empirical study, this paper explores the ways in which Health Authorities were approaching their responsibilities, the consequences of such strategies for purchasers and providers, and the implications for professional-managerial relations. The paper concludes that purchasers have not made substantial progress in assessing work performance because of professional resistance and the non-threatening environment fostered by some purchasers.",
author = "Mark Exworthy",
year = "1998",
doi = "10.1177/095207679801300204",
language = "English",
volume = "13",
pages = "40--53",
journal = "Public Policy and Administration",
issn = "0952-0767",
publisher = "SAGE Publications Ltd",
number = "2",

}

RIS

TY - JOUR

T1 - Clinical audit in the NHS internal market: from peer review to external monitoring

AU - Exworthy, Mark

PY - 1998

Y1 - 1998

N2 - Relations between managers and professionals in the public sector have often centred on the control of work performance. Work performance strategies and techniques have been transformed by recent public sector policies involving managerialisation and quasi-markets. In particular, the clinical audit programme in the National Health Service has traditionally been the preserve of professionals, mainly doctors but managers and purchasers have become more involved recently. Based on an empirical study, this paper explores the ways in which Health Authorities were approaching their responsibilities, the consequences of such strategies for purchasers and providers, and the implications for professional-managerial relations. The paper concludes that purchasers have not made substantial progress in assessing work performance because of professional resistance and the non-threatening environment fostered by some purchasers.

AB - Relations between managers and professionals in the public sector have often centred on the control of work performance. Work performance strategies and techniques have been transformed by recent public sector policies involving managerialisation and quasi-markets. In particular, the clinical audit programme in the National Health Service has traditionally been the preserve of professionals, mainly doctors but managers and purchasers have become more involved recently. Based on an empirical study, this paper explores the ways in which Health Authorities were approaching their responsibilities, the consequences of such strategies for purchasers and providers, and the implications for professional-managerial relations. The paper concludes that purchasers have not made substantial progress in assessing work performance because of professional resistance and the non-threatening environment fostered by some purchasers.

U2 - 10.1177/095207679801300204

DO - 10.1177/095207679801300204

M3 - Article

VL - 13

SP - 40

EP - 53

JO - Public Policy and Administration

JF - Public Policy and Administration

SN - 0952-0767

IS - 2

ER -