The Governance of Health Policy in the United Kingdom

2007 ◽  
pp. 119-138
Author(s):  
Ian Greener ◽  
Martin Powell ◽  
Nick Mills ◽  
Shane Doheny
2016 ◽  
Vol 22 (1) ◽  
pp. 61-73 ◽  
Author(s):  
Kay Mafuba ◽  
Bob Gates ◽  
Maria Cozens

The aim of this study was to explore how public health policy in the United Kingdom was reflected in community intellectual disability nurses’ (CIDNs)’ job descriptions and person’s specifications. The role of CIDNs has evolved due to policy changes. As these roles evolve, job descriptions and person specifications are important in highlighting employer’s expectations staff, priorities, and professional values of their employees. This study involved an exploratory documentary analysis of n = 203 CIDNs’ job descriptions and person specifications in the context of role theory. The CIDNs’ public health roles identified in this study are health education, health protection, health prevention, health surveillance, and health promotion. Key policies themes were intellectual disability health access, public health strategies, policy evaluation/redesign, and public health policy. There is a lack of public health role clarity and inconsistency in role expectations across organizational boundaries in the United Kingdom.


1996 ◽  
Vol 5 (2) ◽  
pp. 87-91 ◽  
Author(s):  
Jonathan Bindman ◽  
Sara Davies ◽  
Ruth Taylor ◽  
Graham Thornicroft

1974 ◽  
Vol 4 (3) ◽  
pp. 453-470 ◽  
Author(s):  
Peter Draper ◽  
Tony Smart

A current and major health policy, the first fundamental reorganization of the administrative structure of the National Health Service (NHS), is reviewed in this paper. The shake-up in the administration of the NHS is seen as having two main components: a partial integration of the three separate administrative branches, and an injection of a particular kind of managerial ideology. This “management revolution” is seen as consisting essentially of a powerful thrust toward central and bureaucratic control of the NHS. Social sciences in the broad sense–ranging from work study (organization and methods study) through social medicine and sociology to economics-are reviewed in relation to their contributions to this bureaucratization of the NHS. It is shown that narrow and out-of-date organizational studies and technocratically oriented social medicine have contributed significantly, if sometimes unwillingly and unwittingly, to the drive toward centralization and bureaucratization. Rejecting a highly bureaucratic form of organization for a national health service, the authors discuss briefly some developments which reflect a more decentralized and more adaptive pattern of administration. The paper suggests that independent research foundations with a strong interest in health have a responsibility to break the incestuous relationships which have developed with the health department in some instances. It is suggested that foundations, professional associations, unions, and consumer groups could promote the maturation of “medical sociology” and “administrator's social science” into a full-blooded sociology of health. Currently social science within the health field in the United Kingdom is seen as being both underfinanced and prostituted to the interests of medical and administrative power groups. A participatory framework for social science is outlined as an alternative to the current models which are based on Taylorism or “scientific management.”


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