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Dismantling the NHS?Evaluating the Impact of Health Reforms$
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Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to Policy Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

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Setting the workers free? Managers in the (once again) reformed NHS

Setting the workers free? Managers in the (once again) reformed NHS

Chapter:
(p.257) Thirteen Setting the workers free? Managers in the (once again) reformed NHS
Source:
Dismantling the NHS?
Author(s):

Paula Hyde

Mark Exworthy

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0013

Despite repeated reorganisations, the NHS continues to be under severe pressure as it faces profound challenges in terms of growing patient demand, shrinking resources and a rise in external competition. Managing the healthcare workforce was a central focus for Coalition government reforms and it continues to present several challenges; not least that demand for workers often exceeds supply and workforce is often the single most expensive budget item. This chapter identifies recent trends in staffing across the NHS and specifically builds on a growing body of research on NHS managers and NPM. The authors take a broad sweep from the 1980s but focus mainly on the 2010 – 2015 period of the Coalition government. They frame their argument in terms of the shift towards entrepreneurialism. The chapter is divided in to two sections. The first examines the context of and background to recent reforms of NHS staffing. The second examines the state of NHS management and identifies the challenges that remain.

Keywords:   NHS, staffing, healthcare, workforce, Coalition government, reforms

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