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Decentralization in the public sector - The case of the UK National Health Service

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UNSPECIFIED (2002) Decentralization in the public sector - The case of the UK National Health Service. RELATIONS INDUSTRIELLES-INDUSTRIAL RELATIONS, 57 (2). pp. 354-380. ISSN 0034-379X

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Abstract

Decentralization has been an important international development in large organizations, including those in the public sector, in recent years. The introduction of self-governing trusts in the U.K. National Health Service in the early 1990s serves as a paradigm case of public sector decentralization, managerialism and marketization. Local managers were able to develop their own employment arrangements in order to improve the recruitment, retention and deployment of labour. This article finds that pay initiatives were subverted by environmental constraints but change proceeded in the organization of working time. The findings have implications beyond the U.K. and health service context, notably the conceptual relevance of the 'firm-in-sector" framework and the policy limits and potential of decentralization.

Item Type: Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor
Journal or Publication Title: RELATIONS INDUSTRIELLES-INDUSTRIAL RELATIONS
Publisher: REVUE RELATIONS INDUSTRIELLES INDUSTRIAL RELATIONS
ISSN: 0034-379X
Date: 2002
Volume: 57
Number: 2
Number of Pages: 27
Page Range: pp. 354-380
Publication Status: Published
URI: http://wrap.warwick.ac.uk/id/eprint/10561

Data sourced from Thomson Reuters' Web of Knowledge

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