1st Edition

Governing the New NHS Issues and Tensions in Health Service Management

    208 Pages 17 B/W Illustrations
    by Routledge

    222 Pages 17 B/W Illustrations
    by Routledge

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    The new NHS is a very different organisation to the one set up 60 years ago. Two decades of reforms have introduced a market element, unprecedented transparency, patient choice, new incentives, devolved accountabilities and a host of new regulatory bodies. All these changes have made governance a crucial and contested issue in health care.

    Governing the New NHS makes sense of the new systems and will enable anyone interested in healthcare governance to navigate their way confidently through the maze. It describes, assesses and critiques the new governance arrangements. It examines how they are working in practice and how practitioners are responding. The book:

    • explains current governance arrangements and explores related issues and tensions
    • discusses the roles and interrelationships of boards and effective board practice
    • offers a range of practical tools and frameworks.

    Each chapter is supplemented with expert witness statement written by leading practitioners in the health system. This practical book will be invaluable to all those interested in health governance, policy and management - whether academic, student or practitioner.

    Selected contents: 1.The Architecture of Governance: Issues and Tensions  2.The Role of Regulators in the Governance Process  3.The Governance of Networks  4.Governing the Commissioning Organisations  5.Governing the Provider Organisations  6.Governance Between Organisations  7.Board Development for Better Governance  8.Conclusions and the Way Ahead


    John Storey is Professor of Management at The Open University Business School, UK and is the academic adviser to the Good Governance Institute. He is Chairman of the IPA.

    John Bullivant is Director of the Good Governance Institute and Visiting Senior Fellow in Governance at the Welsh Institute for Health and Social Care. He has held senior positions in the NHS, Welsh Assembly and the Audit Commission. He drafted the influential Integrated Governance Handbook for the Department of Health.

    Andrew Corbett-Nolan is Director of the Good Governance Institute and represents the UK on the Council of the European Society for Quality in Healthcare. He has held board level positions in NHS, not-for-profit and private sector organisations. He was formerly Head of Governance at Humana Europe.

    ‘A brilliantly clear exposition of why the NHS needs good governance now more than ever’ - Martin Green, Chief Executive of the English Community Care Association and Department of Health Independent Sector Dementia Champion

    ‘This is a very timely book. With all the changes and developments in the Health Services it is essential to be able to steer a straight course and intelligent governance gives us the necessary vehicle. This book should be required reading for anyone in Health Service Management or who serves on an NHS Board.’- Rennie Fritchie, Chair of 2gether NHS Foundation Trust for Gloucestershire

    ‘This important book written by experts in the academic and practical application of good governance is an important analysis of how we can manage the issues and tensions inherent in providing stewardship for one of the greatest organisations ever created.’ - Malcolm Hanney, Chairman, NHS Bath and North East Somerset

    ‘This book is an invaluable aid to the total process required for developing and maintaining a healthy board.’ - Fred Hucker, Chairman, NHS Oxfordshire