Steering whilst rowing: governing and managing health services from the centre

Storey, John (2011). Steering whilst rowing: governing and managing health services from the centre. Journal of Health Organization and Management, 25(6) pp. 625–644.

DOI: https://doi.org/10.1108/14777261111178529

URL: http://www.emeraldinsight.com/1477-7266.htm

Abstract

The article explores the practical and theoretical implications of the ways in which senior figures in the NHS interpret the role of the centre in relation to the delivery units of the health service. This is important in the light of recent plans for re-organisation of the NHS advanced by the new Conservative-Liberal Coalition government. The article is based on interviews with civil servants and NHS staff at senior levels in the centre and in the Strategic Health Authorities. It is found that, in practice, despite numerous attempts to separate out policy-making from implementation and management that the two continue to be closely coupled and intertwined. Central staff and regional officials are found to be both steering and rowing.

Viewing alternatives

Metrics

Item Actions

Export

You can export this page using these formats Digital Object Identifier - DOI

About

• Item ORO ID
• 30119
• Item Type
• Journal Item
• ISSN
• 1477-7266
• Project Funding Details

• Funded Project Name	Project ID	Funding Body
  Not Set	Not Set	NIHR/SDO

• Keywords
• policy; governance; strategic health authorities; new public management; Department of Health
• Academic Unit or School
• Faculty of Business and Law (FBL) > Business > Department for People and Organisations
  Faculty of Business and Law (FBL) > Business
  Faculty of Business and Law (FBL)
• Research Group
• Innovation, Knowledge & Development research centre (IKD)
• Copyright Holders
• © 2011 Emerald Group Publishing
• Depositing User
• John Storey