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Shaping Health PolicyCase Study Methods and Analysis$
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Mark Exworthy, Stephen Peckham, Martin Powell, and Alison Hann

Print publication date: 2011

Print ISBN-13: 9781847427588

Published to Policy Press Scholarship Online: May 2012

DOI: 10.1332/policypress/9781847427588.001.0001

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

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

Chapter:
(p.185) Twelve Coping with uncertainty: Policy and politics in the National Health Service (Hunter, 1980)
Source:
Shaping Health Policy
Author(s):

David Hughes

Publisher:
Policy Press
DOI:10.1332/policypress/9781847427588.003.0012

This chapter discusses David Hunter's classic case study of resource allocation after the 1974 NHS reorganisation, Coping with Uncertainty: Policy and Politics in the National Health Service (Hunter, 1980). Hunter's research follows the well-established sociological tradition of basing case analysis on the longitudinal study of social processes in one or more formal organisations; in this instance following the activities of key participants in two Scottish health boards over two financial years. The study was undertaken before the Griffiths general management reforms and the NHS internal market, when funding of services depended on short-term plans and annual revenue allocations. Hunter's study remains highly relevant as perhaps the earliest British example of a genre of qualitative case studies of policy implementation in action that usefully complements more conventional health policy and HSR studies.

Keywords:   NHS, policy making, David Hunter, resource allocation, 1974 NHS reorganisation

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