- Title Pages
- Dedication
- List of figures and tables
- Contributors
- Abbreviations
- Acknowledgements
-
One Case studies in health policy: an introduction -
Two Case studies of the health policy process: a methodological introduction -
Part Two Creation, Consolidation and Disillusion (1948–1980s) -
Three NHS birthing pains -
Four Hospital policy in England and Wales: of what is the 1962 Hospital Plan a case? -
Five The case study as history: ‘Ideology, class and the National Health Service’ by Rudolf Klein -
Six Hospitals in trouble -
Seven Normal accidents: learning how to learn about safety -
Eight Repressed interests: explaining why patients and the public have little influence on healthcare policy: Alford's concepts of dominant, challenging and repressed interests -
Part Three ‘safe In Our Hands’: Conflicts and Challenges (1980s and 1990s) -
Nine The 1983 Griffiths Inquiry -
Ten Aids in the Uk: The making of policy, 1981–1994 (Berridge, 1996): a case-study in British health policy -
Eleven What the doctor ordered: the Audit Commission's case study of general practice fundholders -
Twelve Coping with uncertainty: Policy and politics in the National Health Service (Hunter, 1980) -
Thirteen Shaping strategic change: changing the way organisational change was researched in the NHS -
Part Four The new NHS? The NHS since the 1990s -
Fourteen Patient choice: a contemporary policy story -
Fifteen The individualisation of health: health surveillance, lifestyle control and public health -
Sixteen NHS confidential: Implementation, or … how great expectations in Whitehall are dashed in Stoke-on-trent -
Seventeen Implementing clinical guidelines: a case study of research in context -
Eighteen Accidental logics, Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s -
Nineteen Evidence and health inequalities: the Black, Acheson and Marmot Reports -
Twenty Policy learning from case studies in health policy: taking forward the debate -
Twenty-One Case studies in health policy: concluding remarks - Index
Shaping strategic change: changing the way organisational change was researched in the NHS
Shaping strategic change: changing the way organisational change was researched in the NHS
- Chapter:
- (p.201) Thirteen Shaping strategic change: changing the way organisational change was researched in the NHS
- Source:
- Shaping Health Policy
- Author(s):
Louise Locock
Sue Dopson
- Publisher:
- Policy Press
‘Shaping Strategic Change’ by Andrew Pettigrew, Ewan Ferlie, and Lorna McKee was published in 1992, a period when the combined effect of managerialist and marketising reforms was creating high turbulence in the history of the NHS. In the 1980s and 1990s, there were concerns about the ability of managers to overcome organisational inertia and traditional power relationships, and to embed new patterns of thinking and behaviour. Pettigrew et al. identified a strong academic tradition of scepticism about the chances of success for top-down institutional reform. They examined a series of eleven longitudinal case studies, illustrating different types of service (acute and priority group) and different types of change. To detect the kind of ‘substantial variability’ anticipated from the theoretical review, a specific set of methods was needed: a wide range of case studies, a focus on context and on impact, and a longitudinal approach.
Keywords: organisational change, Andrew Pettigrew, Shaping Strategic Change, power relationships
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- Title Pages
- Dedication
- List of figures and tables
- Contributors
- Abbreviations
- Acknowledgements
-
One Case studies in health policy: an introduction -
Two Case studies of the health policy process: a methodological introduction -
Part Two Creation, Consolidation and Disillusion (1948–1980s) -
Three NHS birthing pains -
Four Hospital policy in England and Wales: of what is the 1962 Hospital Plan a case? -
Five The case study as history: ‘Ideology, class and the National Health Service’ by Rudolf Klein -
Six Hospitals in trouble -
Seven Normal accidents: learning how to learn about safety -
Eight Repressed interests: explaining why patients and the public have little influence on healthcare policy: Alford's concepts of dominant, challenging and repressed interests -
Part Three ‘safe In Our Hands’: Conflicts and Challenges (1980s and 1990s) -
Nine The 1983 Griffiths Inquiry -
Ten Aids in the Uk: The making of policy, 1981–1994 (Berridge, 1996): a case-study in British health policy -
Eleven What the doctor ordered: the Audit Commission's case study of general practice fundholders -
Twelve Coping with uncertainty: Policy and politics in the National Health Service (Hunter, 1980) -
Thirteen Shaping strategic change: changing the way organisational change was researched in the NHS -
Part Four The new NHS? The NHS since the 1990s -
Fourteen Patient choice: a contemporary policy story -
Fifteen The individualisation of health: health surveillance, lifestyle control and public health -
Sixteen NHS confidential: Implementation, or … how great expectations in Whitehall are dashed in Stoke-on-trent -
Seventeen Implementing clinical guidelines: a case study of research in context -
Eighteen Accidental logics, Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s -
Nineteen Evidence and health inequalities: the Black, Acheson and Marmot Reports -
Twenty Policy learning from case studies in health policy: taking forward the debate -
Twenty-One Case studies in health policy: concluding remarks - Index
