IDEAS home Printed from https://ideas.repec.org/a/sae/sagope/v4y2014i4p2158244014554203.html
   My bibliography  Save this article

Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS

Author

Listed:
  • Julia Segar
  • Kath Checkland
  • Anna Coleman
  • Imelda McDermott
  • Stephen Harrison
  • Stephen Peckham

Abstract

The English National Health Service (NHS) is undergoing significant reorganization following the 2012 Health and Social Care Act. Key to these changes is the shift of responsibility for commissioning services from Primary Care Trusts (PCTs) to general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article is based on an empirical study that examined the development of emerging CCGs in eight case studies across England between September 2011 and June 2012. The findings are based on interviews with GPs and managers, observations of meetings, and reading of related documents. Scott’s notion that institutions are constituted by three pillars—the regulative, normative, and cognitive–cultural—is explored here. This approach helps to understand the changing roles and identities of doctors and managers implicated by the present reforms. This article notes the far reaching changes in the regulative pillar and questions how these changes will affect the normative and cultural–cognitive pillars.

Suggested Citation

  • Julia Segar & Kath Checkland & Anna Coleman & Imelda McDermott & Stephen Harrison & Stephen Peckham, 2014. "Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS," SAGE Open, , vol. 4(4), pages 21582440145, October.
    • Handle: RePEc:sae:sagope:v:4:y:2014:i:4:p:2158244014554203
    DOI: 10.1177/2158244014554203
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/2158244014554203
    Download Restriction: no
    File URL: https://libkey.io/10.1177/2158244014554203?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Light, Donald W. & Connor, Martin, 2011. "Reflections on commissioning and the English coalition government NHS reforms," Social Science & Medicine, Elsevier, vol. 72(6), pages 821-822, March.
    2. Asthana, Sheena, 2011. "Liberating the NHS? A commentary on the Lansley White Paper, "Equity and Excellence"," Social Science & Medicine, Elsevier, vol. 72(6), pages 815-820, March.
    3. Bill Doolin, 2001. "DOCTORS AS MANAGERS - New Public Management in a New Zealand hospital," Public Management Review, Taylor & Francis Journals, vol. 3(2), pages 231-254, June.
    4. Alistair Hewison, 2002. "Managerial Values and Rationality in the UK National Health Service," Public Management Review, Taylor & Francis Journals, vol. 4(4), pages 549-579, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Les Worrall & Kim Mather & Roger Seifert, 2010. "Solving the Labour Problem Among Professional Workers in the UK Public Sector: Organisation Change and Performance Management," Public Organization Review, Springer, vol. 10(2), pages 117-137, June.
    2. Holmes, Richard D. & Steele, Jimmy G. & Donaldson, Cam & Exley, Catherine, 2015. "Learning from contract change in primary care dentistry: A qualitative study of stakeholders in the north of England," Health Policy, Elsevier, vol. 119(9), pages 1218-1225.
    3. Jimmy Vallejo & Nathalie Sampieri-Teissier & Christophe Baret, 2015. "Comprendre les difficultés de la mise en œuvre de la délégation de gestion à l’hôpital. Une lecture par le concept d’anarchie organisée," Post-Print hal-01404762, HAL.
    4. Macinati, Manuela S. & Bozzi, Stefano & Rizzo, Marco Giovanni, 2016. "Budgetary participation and performance: The mediating effects of medical managers’ job engagement and self-efficacy," Health Policy, Elsevier, vol. 120(9), pages 1017-1028.
    5. Macinati, Manuela S. & Rizzo, Marco G., 2014. "Budget goal commitment, clinical managers’ use of budget information and performance," Health Policy, Elsevier, vol. 117(2), pages 228-238.
    6. Ancarani, Alessandro & Di Mauro, Carmela & Gitto, Simone & Mancuso, Paolo & Ayach, Ali, 2016. "Technology acquisition and efficiency in Dubai hospitals," Technological Forecasting and Social Change, Elsevier, vol. 113(PB), pages 475-485.
    7. Geoffrey Leuridan & Benoît Demil, 2022. "Exploring the dynamics of slack in extreme contexts," Post-Print hal-03931024, HAL.
    8. Maria Lusiani, 2013. "Formal planning and the reshaping of public sector professional work," Working Papers 33, Venice School of Management - Department of Management, Università Ca' Foscari Venezia.
    9. Margaret Brunton, 2017. "Risking the Sustainability of the Public Health System: Ethical Conundrums and Ideologically Embedded Reform," Journal of Business Ethics, Springer, vol. 142(4), pages 719-734, June.
    10. van den Broek & Boselie & Paauwe, 2014. "Multiple Institutional Logics in Health Care: 'Productive Ward: Releasing Time to Care'," Public Management Review, Taylor & Francis Journals, vol. 16(1), pages 1-20, January.
    11. Jimmy Vallejo & Nathalie Sampieri-Teissier & Christophe Baret, 2015. "Comprendre les difficultés de la mise en oeuvre de la délégation de gestion à l'hôpital. Une lecture par le concept d'anarchie organisée," Post-Print halshs-01416926, HAL.
    12. Jimmy Vallejo, 2016. "Understanding the difficulties of implementing management delegation in hospitals: a reading through the concept of organised anarchy," Post-Print hal-01404682, HAL.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:sagope:v:4:y:2014:i:4:p:2158244014554203. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.