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Author: Paula Hyde
Publisher: Routledge
ISBN: 1317661362
Category : Medical
Languages : en
Pages : 226
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Book Description
Who are NHS middle managers? What do they do, and why and how do they do it’? This book explores the daily realities of working life for middle managers in the UK’s National Health Service during a time of radical change and disruption to the entire edifice of publicly-funded healthcare. It is an empirical critique of the movement towards a healthcare model based around HMO-type providers such as Kaiser Permanente and United Health. Although this model is well-known internationally, many believe it to be financially and ethically questionable, and often far from 'best practice' when it comes to patient care. Drawing on immersive ethnographic research based on four case studies – an Acute Hospital Trust, an Ambulance Trust, a Mental Health Trust, and a Primary Care Trust – this book provides an in-depth critical appraisal of the everyday experiences of a range of managers working in the NHS. It describes exactly what NHS managers do and explains how their roles are changing and the types of challenges they face. The analysis explains how many NHS junior and middle managers are themselves clinicians to some extent, with hybrid roles as simultaneously nurse and manager, midwife and manager, or paramedic and manager. While commonly working in ‘back office’ functions, NHS middle managers are also just as likely to be working very close to or actually on the front lines of patient care. Despite the problems they regularly face from organizational restructuring, cost control and demands for accountability, the authors demonstrate that NHS managers – in their various guises – play critical, yet undervalued, institutional roles. Depicting the darker sides of organizational change, this text is a sociological exploration of the daily struggle for work dignity of a complex, widely denigrated, and largely misunderstood group of public servants trying to do their best under extremely trying circumstances. It is essential reading for academics, students, and practitioners interested in health management and policy, organisational change, public sector management, and the NHS more broadly.
Author: Paula Hyde
Publisher: Routledge
ISBN: 1317661362
Category : Medical
Languages : en
Pages : 226
Get Book Here
Book Description
Who are NHS middle managers? What do they do, and why and how do they do it’? This book explores the daily realities of working life for middle managers in the UK’s National Health Service during a time of radical change and disruption to the entire edifice of publicly-funded healthcare. It is an empirical critique of the movement towards a healthcare model based around HMO-type providers such as Kaiser Permanente and United Health. Although this model is well-known internationally, many believe it to be financially and ethically questionable, and often far from 'best practice' when it comes to patient care. Drawing on immersive ethnographic research based on four case studies – an Acute Hospital Trust, an Ambulance Trust, a Mental Health Trust, and a Primary Care Trust – this book provides an in-depth critical appraisal of the everyday experiences of a range of managers working in the NHS. It describes exactly what NHS managers do and explains how their roles are changing and the types of challenges they face. The analysis explains how many NHS junior and middle managers are themselves clinicians to some extent, with hybrid roles as simultaneously nurse and manager, midwife and manager, or paramedic and manager. While commonly working in ‘back office’ functions, NHS middle managers are also just as likely to be working very close to or actually on the front lines of patient care. Despite the problems they regularly face from organizational restructuring, cost control and demands for accountability, the authors demonstrate that NHS managers – in their various guises – play critical, yet undervalued, institutional roles. Depicting the darker sides of organizational change, this text is a sociological exploration of the daily struggle for work dignity of a complex, widely denigrated, and largely misunderstood group of public servants trying to do their best under extremely trying circumstances. It is essential reading for academics, students, and practitioners interested in health management and policy, organisational change, public sector management, and the NHS more broadly.
Author: Alma J. Carten
Publisher: Oxford University Press
ISBN: 0199368902
Category : Medical
Languages : en
Pages : 393
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Book Description
Within the context of the nation's changing demographic and cultural landscape, this one of a kind book brings together a national roster of leading practitioners and scholars who recommend innovative strategies for reducing racial and ethnic disparities that are pervasive across all fields of practice in the health and human services.
Author: Michael Bommes
Publisher: Psychology Press
ISBN: 0415223725
Category : Europe
Languages : en
Pages : 305
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Book Description
This timely and original book explores new migration challenges such as asylum seekers and Europe's increasingly restrictive immigration policies.
Author: J. Torfing
Publisher: Palgrave Macmillan
ISBN: 9780333659571
Category : Political Science
Languages : en
Pages : 0
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Book Description
This book presents an alternative theoretical approach to the study of the transformation of the modern welfare state. It draws upon the undogmatic Marxism of Gramsci in order to deconstruct the Marxist tradition and develop a general theory of capitalist regulation which emphasizes the primacy of the political. In so doing, it seeks to integrate French regulation theory and British state theory within the broader framework of discourse analysis. This theoretical framework is applied in an empirical analysis of the Danish variant of the Scandinavian welfare state model. The book is written for advanced undergraduates, postgraduates and professionals within the field of political theory, institutional economics and sociology.
Author: Brian Steensland
Publisher: Princeton University Press
ISBN: 069117797X
Category : Political Science
Languages : en
Pages : 320
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Book Description
Today the United States has one of the highest poverty rates among the world's rich industrial democracies. The Failed Welfare Revolution shows us that things might have turned out differently. During the 1960s and 1970s, policymakers in three presidential administrations tried to replace the nation's existing welfare system with a revolutionary program to guarantee Americans basic economic security. Surprisingly from today's vantage point, guaranteed income plans received broad bipartisan support in the 1960s. One proposal, President Nixon's Family Assistance Plan, nearly passed into law in the 1970s, and President Carter advanced a similar bill a few years later. The failure of these proposals marked the federal government's last direct effort to alleviate poverty among the least advantaged and, ironically, sowed the seeds of conservative welfare reform strategies under President Reagan and beyond. This episode has largely vanished from America's collective memory. Here, Brian Steensland tells the whole story for the first time--from why such an unlikely policy idea first developed to the factors that sealed its fate. His account, based on extensive original research in presidential archives, draws on mainstream social science perspectives that emphasize the influence of powerful stakeholder groups and policymaking institutions. But Steensland also shows that some of the most potent obstacles to guaranteed income plans were cultural. Most centrally, by challenging Americans' longstanding distinction between the "deserving" and "undeserving" poor, the plans threatened the nation's cultural, political, and economic status quo.
Author: Paul Spicker
Publisher: SAGE
ISBN: 9780761967057
Category : Social Science
Languages : en
Pages : 212
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Book Description
A major orginal work of social theory, this book presents a distinctive and tightly argued theoretical model for understanding the basis of welfare in society. The author develops a theory of welfare based on a series of basic propositions: that people live in society and have obligations to each other; that welfare is obtained and maintained through social action; and that the welfare state is a means of promoting and maintaining welfare in society. Each of these propositions is examined and developed to suggest a clear way of understanding the foundations of social welfare. The book make a lively and informative contribution to debates in social policy, as well as moral philosophy, political theory a
Author: Paula Hyde
Publisher:
ISBN: 9781138787193
Category : Great Britain
Languages : en
Pages : 0
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Book Description
7 When organizations disappear: deconstructing management at a primary care trust -- 8 Managing the impossible: the challenges of organizational change in the NHS -- Afterword -- References -- Index
Author: Vanessa Barker
Publisher: Routledge
ISBN: 9780367360436
Category :
Languages : en
Pages : 168
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Book Description
In late summer 2015, Sweden embarked on one of the largest self-described humanitarian efforts in its history, opening its borders to 163,000 asylum seekers fleeing the war in Syria. Six months later this massive effort was over. On January 4, 2016, Sweden closed its border with Denmark. This closure makes a startling reversal of Sweden's open borders to refugees and contravenes free movement in the Schengen Area, a founding principle of the European Union. What happened? This book sets out to explain this reversal. In her new and compelling book, Vanessa Barker explores the Swedish case study to challenge several key paradigms for understanding penal order in the twenty-first century and makes an important contribution to our understanding of punishment and welfare states. She questions the dominance of neoliberalism and political economy as the main explanation for the penalization of others, migrants and foreign nationals, and develops an alternative theoretical framework based on the internal logic of the welfare state and democratic theory about citizenship, incorporation, and difference, paying particular attention to questions of belonging, worthiness, and ethnic and gender hierarchies. Her book develops the concept of penal nationalism as an important form of penal power in the twenty-first century, providing a bridge between border control and punishment studies. gic of the welfare state and democratic theory about citizenship, incorporation, and difference, paying particular attention to questions of belonging, worthiness, and ethnic and gender hierarchies. Her book develops the concept of penal nationalism as an important form of penal power in the twenty-first century, providing a bridge between border control and punishment studies.
Author: Gianni Vattimo
Publisher: Bloomsbury Publishing USA
ISBN: 1441115560
Category : Political Science
Languages : en
Pages : 321
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Book Description
This volume in the Political Theory and Contemporary Philosophy series provides a political and philosophical critique of Zionism. While other nationalisms seem to have adapted to twenty-first century realities and shifting notions of state and nation, Zionism has largely remained tethered to a nineteenth century mentality, including the glorification of the state as the only means of expressing the spirit of the people. These essays, contributed by eminent international thinkers including Slavoj Zizek, Luce Irigaray, Judith Butler, Gianni Vattimo, Walter Mignolo, Marc Ellis, and others, deconstruct the political-metaphysical myths that are the framework for the existence of Israel.Collectively, they offer a multifaceted critique of the metaphysical, theological, and onto-political grounds of the Zionist project and the economic, geopolitical, and cultural outcomes of these foundations. A significant contribution to the debates surrounding the state of Israel today, this groundbreaking work will appeal to anyone interested in political theory, philosophy, Jewish thought, and the Middle East conflict.
Author: Sanford Schram
Publisher:
ISBN: 9781592133024
Category : Political Science
Languages : en
Pages : 184
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Book Description
For the past decade political scientist Sanford Schram has led the academic effort to understand the ways Americans and their political officials talk about welfare. In this important new work, Schram argues that it is time to take stock of the new forms of welfare and to develop new methods to better understand them. While still asserting the importance of understanding discourse, he is now pushing for a more contextual approach to understanding everything from the use of the idea of globalization to justify cutbacks in welfare and the increasing movement of U.S. policy discourse overseas to the development of assets-based approaches to helping the poor. Stressing the importance of understanding the ways we talk about welfare, the ways it is studied, and increased attention to what is not being discussed and why, Welfare Discipline ends with Schram's ideas for making welfare policy just and effective.
