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Shaping Health Policy
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Shaping Health Policy: Case Study Methods and Analysis

Mark Exworthy, Stephen Peckham, Martin Powell, and Alison Hann

Abstract

This book examines the role that case studies play in understanding and explaining British health policy. Overall, the chapters cover the key health policy literatures in terms of the policy process, analytical frameworks and some of the seminal moments of the NHS. They have been written by health policy researchers in sociology, social policy, management and organisation studies. The book explores and promotes the case study as an under-used method and thereby encourages a more reflective approach to policy learning by practitioners and academics.

Keywords: case studies, British health policy, health policy literatures, policy process, analytical frameworks, NHS, health policy researchers, sociology, social policy, policy learning

Bibliographic Information

Print publication date: 2011 Print ISBN-13: 9781847427588
Published to Policy Press Scholarship Online: May 2012 DOI:10.1332/policypress/9781847427588.001.0001

Authors

Affiliations are at time of print publication.

Mark Exworthy, editor

Stephen Peckham, editor

Martin Powell, editor

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Contents

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Front Matter

Title Pages

Dedication

List of figures and tables

Contributors

Abbreviations

Acknowledgements

Part One

One Case studies in health policy: an introduction

Mark Exworthy, and Martin Powell

Two Case studies of the health policy process: a methodological introduction

Mike Marinetto

Part Two Creation, Consolidation and Disillusion (1948–1980s)

Three NHS birthing pains

Martin Powell

Four Hospital policy in England and Wales: of what is the 1962 Hospital Plan a case?

John Mohan

Five The case study as history: ‘Ideology, class and the National Health Service’ by Rudolf Klein

Ian Greener

Six Hospitals in trouble

Joan Higgins

Seven Normal accidents: learning how to learn about safety

Justin Keen

Eight Repressed interests: explaining why patients and the public have little influence on healthcare policy: Alford's concepts of dominant, challenging and repressed interests

Stephen Peckham, and Micky Willmott

Part Three ‘safe In Our Hands’: Conflicts and Challenges (1980s and 1990s)

Nine The 1983 Griffiths Inquiry

Fraser Macfarlane, Mark Exworthy, and Micky Willmott

TenAids in the Uk: The making of policy, 1981–1994 (Berridge, 1996): a case-study in British health policy

David Evans

Eleven What the doctor ordered: the Audit Commission's case study of general practice fundholders

David Wainwright, and Michael Calnan

Twelve Coping with uncertainty: Policy and politics in the National Health Service (Hunter, 1980)

David Hughes

Thirteen Shaping strategic change: changing the way organisational change was researched in the NHS

Louise Locock, and Sue Dopson

Part Four The new NHS? The NHS since the 1990s

Fourteen Patient choice: a contemporary policy story

Stephen Peckham, and Marie Sanderson

Fifteen The individualisation of health: health surveillance, lifestyle control and public health

Alison Hann

Sixteen NHS confidential: Implementation, or … how great expectations in Whitehall are dashed in Stoke-on-trent

Calum Paton

Seventeen Implementing clinical guidelines: a case study of research in context

George Dowswell, and Stephen Harrison

Eighteen Accidental logics, Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s

Pauline Allen

Nineteen Evidence and health inequalities: the Black, Acheson and Marmot Reports

Mark Exworthy, and Adam Oliver

Part Five

Twenty Policy learning from case studies in health policy: taking forward the debate

Mark Exworthy, and Stephen Peckham

Twenty-One Case studies in health policy: concluding remarks

Mark Exworthy, and Martin Powell

End Matter

Index