The reform of the English National Health Service : professional dominance, countervailing powers and the buyers’ revolt. / Speed, Ewen; Gabe, Jonathan.

In: Social Theory and Health, 03.09.2019, p. 1-17.

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The reform of the English National Health Service : professional dominance, countervailing powers and the buyers’ revolt. / Speed, Ewen; Gabe, Jonathan.

In: Social Theory and Health, 03.09.2019, p. 1-17.

Research output: Contribution to journalArticle

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@article{38cbae6e54e44eb4b0385c32b5ecd333,
title = "The reform of the English National Health Service: professional dominance, countervailing powers and the buyers{\textquoteright} revolt",
abstract = "The 2012 English Health and Social Care Act marked a fundamental reform of statutory healthcare in England in ways which elevated the interests of the government over the interests of patients or the professions, and which undermined traditional alliances between professions and patients. Drawing on a countervailing powers framework we present a thematic analysis of parliamentary papers, press releases and other publicly available materials produced across the reform process by four key actors in the healthcare field – the government, medical profession, patients and {\textquoteleft}for profit{\textquoteright} providers. This analysis explores how the pursuit of sectional interests by these actors may have acted to constrain potential alliances and ultimately contributed to the enactment of the legislation by default. This conclusion has relevance for other Beveridge model healthcare systems undergoing health and social care reform under the auspices of austerity.",
keywords = "Beveridge Model, Countervailing Powers, Buyers' Revolt, Health Care Policy, NHS, Professional Dominance",
author = "Ewen Speed and Jonathan Gabe",
note = "Ewen Speed, Senior Lecturer in Medical Sociology, School of Health and Social Care, University of Essex Jonathan Gabe, Professor of Sociology, School of Law and Social Sciences, Royal Holloway",
year = "2019",
month = sep,
day = "3",
doi = "10.1057/s41285-019-00116-x",
language = "English",
pages = "1--17",
journal = "Social Theory and Health",
issn = "1477-8211",
publisher = "Palgrave",

}

RIS

TY - JOUR

T1 - The reform of the English National Health Service

T2 - professional dominance, countervailing powers and the buyers’ revolt

AU - Speed, Ewen

AU - Gabe, Jonathan

N1 - Ewen Speed, Senior Lecturer in Medical Sociology, School of Health and Social Care, University of Essex Jonathan Gabe, Professor of Sociology, School of Law and Social Sciences, Royal Holloway

PY - 2019/9/3

Y1 - 2019/9/3

N2 - The 2012 English Health and Social Care Act marked a fundamental reform of statutory healthcare in England in ways which elevated the interests of the government over the interests of patients or the professions, and which undermined traditional alliances between professions and patients. Drawing on a countervailing powers framework we present a thematic analysis of parliamentary papers, press releases and other publicly available materials produced across the reform process by four key actors in the healthcare field – the government, medical profession, patients and ‘for profit’ providers. This analysis explores how the pursuit of sectional interests by these actors may have acted to constrain potential alliances and ultimately contributed to the enactment of the legislation by default. This conclusion has relevance for other Beveridge model healthcare systems undergoing health and social care reform under the auspices of austerity.

AB - The 2012 English Health and Social Care Act marked a fundamental reform of statutory healthcare in England in ways which elevated the interests of the government over the interests of patients or the professions, and which undermined traditional alliances between professions and patients. Drawing on a countervailing powers framework we present a thematic analysis of parliamentary papers, press releases and other publicly available materials produced across the reform process by four key actors in the healthcare field – the government, medical profession, patients and ‘for profit’ providers. This analysis explores how the pursuit of sectional interests by these actors may have acted to constrain potential alliances and ultimately contributed to the enactment of the legislation by default. This conclusion has relevance for other Beveridge model healthcare systems undergoing health and social care reform under the auspices of austerity.

KW - Beveridge Model

KW - Countervailing Powers

KW - Buyers' Revolt

KW - Health Care Policy

KW - NHS

KW - Professional Dominance

U2 - 10.1057/s41285-019-00116-x

DO - 10.1057/s41285-019-00116-x

M3 - Article

SP - 1

EP - 17

JO - Social Theory and Health

JF - Social Theory and Health

SN - 1477-8211

ER -