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Coping With Change in the NHS: A Frontline District's Response to AIDS*

Published online by Cambridge University Press:  20 January 2009

Ewan Ferlie  and
Andrew Pettigrew
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Abstract

The core of this paper is a case study of how a District Health Authority (Paddington and North Kensington, now Parkside DHA following a recent merger with Brent DHA) in Inner London responded to a major new health care issue of the 1980s—Aids, but the paper also seeks to locate this case study material within wider debates. What theories are there of organisational change which could be used to illuminate policy and service change in the health care sector? How, indeed, do we best study change in health care organisations? The paper is thus in three parts. In the first section we identify some streams of literature which act as a frame of reference defining our initial research question and discuss implications for methodology. The second section presents the case itself, while the last section discusses some emerging findings.

Type
Articles
Information
Journal of Social Policy , Volume 19 , Issue 2 , April 1990 , pp. 191 - 220
Copyright
Copyright © Cambridge University Press 1990

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References

REFERENCES

Bachrach, P. and Baratz, M.S. (1970), Power and Poverty: Theory and Practice, Oxford University Press, Oxford.Google Scholar
Barrett, Susan and Hill, Michael (1984), ‘Policy, bargaining and structure in implementation theory: towards an integrated perspective’. Policy and Politics, 12 (3), 219–40.Google Scholar
Best, G. (1987). The Future of General Management: Where Next?, King's Fund College, London.Google Scholar
Cheingsong-Popov, R. et al. (1984), ‘Prevalence of antibody to HTLV-iii virus in Aids and Aids risk patients in Britain’, The Lancet, 1.9.84, 477–80.CrossRefGoogle ScholarPubMed
Cmnd 3569 (1968), Royal Commission on Medical Education (The Todd Report), HMSO, London.Google Scholar
Day, P. and Klein, R. (1983), ‘The mobilisation of consent (vs) the management of conflict: decoding the Griffiths Report’. British Medical Journal, 10 12, 287, 1813–16.CrossRefGoogle Scholar
Dearlove, J. (1973), The Politics of Policy in Local Government, Cambridge University Press, Cambridge.Google Scholar
The Flowers Report (1980), London Medical Education—A New Framework, Report of a Working Party on Medical and Dental Teaching Resources, University of London, London.Google Scholar
Glaser, B.G. and Strauss, A.C. (1967), The Discovery of Grounded Theory, Aldine, Chicago.Google Scholar
Griffiths, R. (1983), NHS Management Enquiry, HMSO, London.Google Scholar
Hall, Phoebe, Land, Hilary, Parker, Ray and Webb, Adrian (1975), Change, Choice and Conflict in Social Policy, Heineman Educational Books, London.Google Scholar
Ham, Christopher (1981), Policy Making in the NHS, Macmillan, London.Google Scholar
Hardy, Cynthia (1985), Managing Organisational Closure, Gower, Aldershot.Google Scholar
Harmer, Jaina and Leonard, Diana (1984), ‘Negotiating the problem: the DHSS and research on violence in marriage’, in Bell, Colin and Roberts, Helen (eds), Social Researching: Politics, Problems, Practice, Routledge and Kegan Paul, London.Google Scholar
Harrison, Stephen (1988), Managing the NHS, Chapman and Hall, London.Google Scholar
Hill, Michael (1981), ‘The policy/implementation distinction: a quest for rational control’ in Barrett, Susan and Fudge, Colin (eds), Policy and Action, Methuen, London.Google Scholar
House of Commons Select Committee on Social Services (1987), Problems Associated with Aids, Third Report, Session 19 86–87.Google Scholar
Hunter, David (1980), Coping With Uncertainty, Research Studies Press, Chichester.Google Scholar
Hunter, David (1984). ‘NHS management: is Griffiths the last quick fix?’, Public Administration, Spring, 62, 1–4.CrossRefGoogle Scholar
Kanter, Rosabeth Moss (1985), The Change Masters, Unwin, London.Google Scholar
Korman, Nancy and Glennerster, Howard (1985), Closing a Hospital: The Darenth Park Project, Bedford Square Press, London.Google Scholar
Johnson, Diane and Murray, John (1988), ‘Aids without end’, The New York Review, 18 08.Google Scholar
Mintzberg, H. (1978), ‘Patterns in strategy formation’, Management Science, 24 (9), 934–48.CrossRefGoogle Scholar
Pettigrew, A.M. (1973), The Politics of Organisational Decision Making, Tavistock, London.Google Scholar
Pettigrew, A.M. (1985), The Awakening Giant: Continuity and Change in ICI, Blackwell, Oxford.Google Scholar
Pettigrew, Andrew, McKee, Lorna and Ferlie, Ewan (1988), ‘Understanding change in the NHS’, Public Administration, 66 (3), 297–317.CrossRefGoogle Scholar
Pinching, A.J. et al. (1983), ‘Studies of cellular immunity in male homosexuals in London’, The Lancet, 16 07, 126–30.CrossRefGoogle Scholar
Shilts, Randy (1987), And the Band Played On …, Penguin, London.Google Scholar
Strong, Phil and Robinson, Jane (1988), New model management: Griffiths and the NHS, Nursing Policy Studies Centre, University of Warwick.Google Scholar
Stark, Evan (1977), ‘The epidemic as a social event’, International Journal of Health Services, (7), 4, 681–705.CrossRefGoogle Scholar
Stocking, Barbara (1985), Initiative and Inertia, London Nuffield Provincial Hospital Trust, London.Google Scholar
Stocking, Barbara (1987), In Dreams Begin Responsibility: a Tribute to Tom Evans, King Edward's Hospital Fund.Google Scholar
Templeton Series (1987). Role and Progress of DGMs: An Overview, Series of ten reports but see specifically issue study Number 8, NHSTA, Wotton-Under-Edge.Google Scholar
Thompson, David (1987), ‘Coalitions and conflict in the NHS: some implications for general management’, Sociology of Health and Illness, 9 (2), 127–54.Google Scholar