The new governance arrangements for nhs foundation trust hospitals: Reframing governors as meta-regulators

Wright, JSF; Dempster, PG; Keen, J; Allen, P; Hutchings, A

The new governance arrangements for nhs foundation trust hospitals: Reframing governors as meta-regulators

Wright, JSF Dempster, PG Keen, J Allen, P Hutchings, A

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Publication Type:: Journal Article
Citation:: Public Administration, 2012, 90 (2), pp. 351 - 369
Issue Date:: 2012-06-01

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Field	Value	Language
dc.contributor.author	Wright, JSF	en_US
dc.contributor.author	Dempster, PG	en_US
dc.contributor.author	Keen, J	en_US
dc.contributor.author	Allen, P	en_US
dc.contributor.author	Hutchings, A	en_US
dc.date.issued	2012-06-01	en_US
dc.identifier.citation	Public Administration, 2012, 90 (2), pp. 351 - 369	en_US
dc.identifier.issn	0033-3298	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115415
dc.description.abstract	New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co-operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social ownership and local accountability on this model. We suggest that policy-makers should re-frame the governance apparatus associated with mutualism and social ownership in terms of the concept of meta-regulation. By re-framing governors as meta-regulators, regulatory institutions would acquire new powers to steer FTs towards sustainable forms of compliance via non-coercive, non-intrusive means. © 2011 Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Public Administration	en_US
dc.relation.isbasedon	10.1111/j.1467-9299.2011.01975.x	en_US
dc.subject.classification	Political Science & Public Administration	en_US
dc.title	The new governance arrangements for nhs foundation trust hospitals: Reframing governors as meta-regulators	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	90	en_US
utslib.for	1605 Policy and Administration	en_US
utslib.for	1606 Political Science	en_US
utslib.for	1503 Business and Management	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
pubs.organisational-group	/University of Technology Sydney/DVC (Research)/lnstitute for Public Policy and Governance
pubs.organisational-group	/University of Technology Sydney/Strength - IPPG - Institute for Public Policy and Governance
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	90	en_US

Abstract:

New governance arrangements for NHS Foundation Trusts (FTs) aimed to replace centralized state ownership of acute English hospitals with a new form of social ownership. Under this, trusts would exist as independent public interest organizations on the model of mutuals and co-operative societies. Assessing the impact of the new arrangements on the management structure of four acute hospitals, we demonstrate that FTs have failed to deliver social ownership and local accountability on this model. We suggest that policy-makers should re-frame the governance apparatus associated with mutualism and social ownership in terms of the concept of meta-regulation. By re-framing governors as meta-regulators, regulatory institutions would acquire new powers to steer FTs towards sustainable forms of compliance via non-coercive, non-intrusive means. © 2011 Blackwell Publishing Ltd.

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http://hdl.handle.net/10453/115415