Governing the New Nhs: Issues and Tensions in Health Service Management

ISBN-13: 9780415492751 / Angielski / Twarda / 2010 / 208 str.

John Storey;John Bullivant;Andrew Corbett-Nolan

Opis

The new NHS is a very different organisation to the one set up 60 years ago. Over a decade of reforms have involved the redistribution and devolution of NHS accountabilities for primary care, secondary, tertiary and mental health services and a host of new supervisory and management bodies, authorities and trusts have been set up. All these changes have made governance a crucial and contested issue in health care.

Governing the New NHS makes sense of the new systems and will enable anyone interested in healthcare governance to navigate their way confidently through the confusion. It describes, assesses and critiques the new governance arrangements. It examines how they are working in practice, reporting on how practitioners are making sense of, and responding to, the difficulties and paradoxes that arise. The book:

• Explains current governance arrangements and explores related issues and tensions – such as those between the devolved countries, and primary and secondary care trusts
• Discusses the roles and interrelationships of boards and effective board practice
• Debates the nature of effective governance and how to do it well
• Looks at how to ensure seamless governance and service provision in a fragmented NHS – avoiding gaps and problems between different health service providers.

The authors draw on survey data from primary and secondary trusts across England and detailed case study data from primary care, acute and mental health trusts. Each chapter is supplemented with contributions written by leading practitioners in the health system, which are then commented on and put into context by the authors. This practical book will be invaluable to all those interested in health governance, whether academic, student or practitioner.

Spis treści

Selected contents: 1.The Architecture of Governance: Issues and Tensions  2.The Role of Regulators in the Governance Process  3.The Governance of Networks  4.Governing the Commissioning Organisations  5.Governing the Provider Organisations  6.Governance Between Organisations  7.Board Development for Better Governance  8.Conclusions and the Way Ahead

O autorze

John Storey is Professor of Management at The Open University Business School, UK and is the academic adviser to the Good Governance Institute. He is Chairman of the IPA.

John Bullivant is Director of the Good Governance Institute and Visiting Senior Fellow in Governance at the Welsh Institute for Health and Social Care. He has held senior positions in the NHS, Welsh Assembly and the Audit Commission. He drafted the influential Integrated Governance Handbook for the Department of Health.

Andrew Corbett-Nolan is Director of the Good Governance Institute and represents the UK on the Council of the European Society for Quality in Healthcare. He has held board level positions in NHS, not-for-profit and private sector organisations. He was formerly Head of Governance at Humana Europe.