Hodgson, D.E. orcid.org/0000-0002-9292-5945, Bailey, S., Exworthy, M. et al. (3 more authors) (2022) On the character of the new entrepreneurial National Health Service in England : reforming health care from within? Public Administration, 100 (2). pp. 338-355. ISSN 0033-3298
Abstract
Recent health care reforms in England, combined with financial austerity, have accelerated both corporatization and commercialization in the English National Health Service (NHS) and this has encouraged greater public sector entrepreneurialism (PSE). We advance this argument by examining the meaning and experience of corporatization in this sector, illustrating our argument with qualitative data from a specialist hospital at the forefront of this trend. We demonstrate how the policy and practice of corporatization is entangled with increased commercialism and how this shapes more entrepreneurial conduct from staff. Framed in terms of the recursive relationship between organizational dynamics and individual behaviors, we focus empirically upon the shifting epistemic boundaries associated with increased corporatization, describing the dissonant effects of these shifts upon individuals, their attempts to compartmentalize, and the ethical dilemmas that result. Through this case we draw conclusions about the emerging impact of corporatization, commercialization, and public sector entrepreneurialism across public services.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 John Wiley & Sons Ltd. This is an author-produced version of a paper subsequently published in Public Administration. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Social Sciences (Sheffield) > Management School (Sheffield) |
Funding Information: | Funder Grant number NIHR Health Services and Delivery Research (HS&DR) programme 09/1002/29 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 01 Dec 2021 13:54 |
Last Modified: | 17 Nov 2023 01:13 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/padm.12797 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:181096 |