Healthcare identities at the crossroads of service modernisation: the transfer of NHS clinicians to the independent sector?
Waring, Justin and Bishop, Simon. (2011) Healthcare identities at the crossroads of service modernisation: the transfer of NHS clinicians to the independent sector? Sociology of Health & Illness, Vol.33 (No.5). pp. 661-676. ISSN 0141-9889Full text not available from this repository.
Official URL: http://dx.doi.org/10.1111/j.1467-9566.2010.01311.x
Health policies increasingly support private businesses to take an active role in the organisation and delivery of public healthcare services. For the English NHS, this is exemplified by the introduction of Independent Sector Treatment Centres. A number of these facilities involve the wholesale secondment of NHS clinicians to the private sector which, we suggest, raises important questions about the identities of healthcare professionals accustomed to working in the public sector. Our paper investigates this transition highlighting three prominent discontinuities in clinical work: the ethos of private sector ownership, new lines of authority and fragmented relationships. Drawing on Giddens, we examine how clinicians experience and interpret these changes and how they keep their biographical ‘narrative going’. The ‘pioneers’ interpreted the independent sector as an opportunity to re-invigorate their practice through new roles, relationships and higher quality care; the ‘guardians’ as an opportunity to replicate and protect the customs and standards of the NHS in the private sector; whilst the ‘marooned’ longed to return to the NHS. Our study illustrates how the sectoral context can shape healthcare identities, and how contemporary reforms aimed at promoting partnerships across public and private sectors can have profound implications for clinicians.
|Item Type:||Journal Article|
|Subjects:||R Medicine > R Medicine (General)|
|Divisions:||Faculty of Social Sciences > Warwick Business School > International Centre for Governance & Public Management
Faculty of Social Sciences > Warwick Business School
|Journal or Publication Title:||Sociology of Health & Illness|
|Number of Pages:||16|
|Page Range:||pp. 661-676|
|Access rights to Published version:||Restricted or Subscription Access|
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