TITLE

Leadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHS

AUTHOR(S)
Martin, Graham P.; Currie, Graeme; Finn, Rachael
PUB. DATE
October 2009
SOURCE
Journal of Public Administration Research & Theory;Oct2009, Vol. 19 Issue 4, p769
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
In attempting to reform public services, governments worldwide have sought to effect change through policies aimed at both transforming structures of public-service provision and facilitating the agency of public servants working within these. Various obstacles have been found, however, to impede the effectiveness of such efforts. In this article, the authors examine the role of organizational networks and distributed leadership—two prominent policies aimed at structure and agency, respectively—in the establishment and consolidation of service reform in the English National Health Service. Using a comparative case-study approach, they contrast the trajectories of two attempts to introduce and gain acceptance for service reform, noting important differences of context, process, and outcome between the sites. The findings indicate the importance of dispersed, as well as distributed, leadership in achieving change in a networked public-service setting. Effective leaders may indeed achieve change through the structures and processes of the network. However, the coexistence alongside the network of other organizational forms constrains the ability of leaders to achieve change without complementary action beyond the boundaries of the network.
ACCESSION #
44587016

 

Related Articles

  • Hunt must avoid 'steamroller mindset'  // Independent Nurse;9/17/2012, p7 

    The article discusses that the nurses must avoid to make the mistakes.The health secretary's,improving the quality of general practice should be the top in the list.In addition the authors,needs to change with practices working in federations to make a wider range of services available to...

  • Antivirus alert: driving out flu from the NHS. Royles, Dean // Occupational Health;Oct2011, Vol. 63 Issue 10, p16 

    The article discusses Great Britain's 2011 National Health Service (NHS) staff flu vaccination campaign dubbed "Flu Fighters." Organized by the Social Partnership Forum in partnership with NHS trade unions and the Department of Health, the campaign seeks to promote flu vaccination among...

  • Through the back door: nurse migration to the UK from Malawi and Nepal, a policy critique. Adhikari, Radha; Grigulis, Astrida // Health Policy & Planning;Mar2014, Vol. 29 Issue 2, p237 

    The UK National Health Service has a long history of recruiting overseas nurses to meet nursing shortages in the UK. However, recruitment patterns regularly fluctuate in response to political and economic changes. Typically, the UK government gives little consideration of how these unstable...

  • The next five years will be anything but dull. Timmins, Nick // British Journal of Healthcare Management;Jun2015, Vol. 21 Issue 6, p293 

    No abstract available.

  • 'A really useful editorial' Allan, Robert // Clinical Medicine;Feb2011, Vol. 11 Issue 1, p3 

    This article looks at some policy challenges facing the British National Health Service (NHS). It references the white paper "Transparency in Outcomes -- A Framework for the NHS" which proposes changes in the NHS management structure including the abolition of specialist health authorities and...

  • Do NHS services have to be provided by the NHS? Farrar, Mike // Clinical Medicine;Oct2012, Vol. 12 Issue 5, p441 

    The article discusses the impact of the Health and Social Care Act 2012 on the NHS. People in Great Britain believe that access to healthcare is a universal right and have strongly supported this principle. The NHS since its inception has done good work; it reduced dramatically the waiting times...

  • Leading service improvement in changing times. Norman, Kay // British Journal of Community Nursing;Apr2012, Vol. 17 Issue 4, p162 

    Leadership within community nursing needs to be embraced and redefined to ensure it is inherent within the profession, not just adopted by a few. As healthcare organisations continue to change and develop to meet new political agendas, meeting the needs of patients and associated improvements to...

  • Making the NHS fit for the future. Bhardwa, Seeta // Independent Nurse;2/17/2014, p11 

    The article presents information on a letter written by David Prior, chairman of the Care Quality Commission (CQC), to The Telegraph on February 1, 2014, which highlights several changes to be brought in the British National Health Service (NHS) in order to restore it. The main steps highlighted...

  • Is the NHS watchdog fit for purpose? Hawkes, Nigel // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;12/17/2011, Vol. 343 Issue 7836, p1246 

    The article reports on the concerns over poor leadership at the Care Quality Commission in Great Britain. The commission's reputation has been damaged by its failure to follow up effectively on information about Winterbourne View, a private hospital for people with learning disabilities in...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics