Integrated care and the ‘agentification’ of the English National Health Service

Wright, JSF; Turner, S

Integrated care and the ‘agentification’ of the English National Health Service

Wright, JSF Turner, S

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Social Policy and Administration, 2021, 55, (1), pp. 173-190
Issue Date:: 2021-01-01

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Field	Value	Language
dc.contributor.author	Wright, JSF
dc.contributor.author	Turner, S
dc.date.accessioned	2021-11-18T06:10:03Z
dc.date.available	2021-11-18T06:10:03Z
dc.date.issued	2021-01-01
dc.identifier.citation	Social Policy and Administration, 2021, 55, (1), pp. 173-190
dc.identifier.issn	0144-5596
dc.identifier.issn	1467-9515
dc.identifier.uri	http://hdl.handle.net/10453/151713
dc.description.abstract	Integrated care is a global reform principle for improving patient access and outcomes by ensuring that healthcare organisations deliver services in a joined-up, person-centred way. Following reforms designed to infuse agency within English National Health Service (NHS) organisations, the agenda for integration must come to grips with the different approaches to joint working that these organisations mobilise, and the compatibility of their different agentic orientations. We build a matrix for identifying the extent to which different forms of agency orient nine NHS organisational types. Interrogating the Strategic and Operational Plans of these organisations for the period 2015–2018 based on questions derived from the matrix, we associate each organisation with one of eight generalised models. Assuming that there is greater potential for integration where organisations mobilise similar forms of agency, we discuss the incentives and potential governance changes that policy makers might consider to enhance integrative potential.
dc.language	en
dc.publisher	Wiley
dc.relation.ispartof	Social Policy and Administration
dc.relation.isbasedon	10.1111/spol.12630
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1605 Policy and Administration, 1606 Political Science, 1608 Sociology
dc.subject.classification	Political Science & Public Administration
dc.title	Integrated care and the ‘agentification’ of the English National Health Service
dc.type	Journal Article
utslib.citation.volume	55
utslib.for	1605 Policy and Administration
utslib.for	1606 Political Science
utslib.for	1608 Sociology
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.consider-herdc	false
dc.date.updated	2021-11-18T06:10:02Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	55
utslib.citation.issue	1

Abstract:

Integrated care is a global reform principle for improving patient access and outcomes by ensuring that healthcare organisations deliver services in a joined-up, person-centred way. Following reforms designed to infuse agency within English National Health Service (NHS) organisations, the agenda for integration must come to grips with the different approaches to joint working that these organisations mobilise, and the compatibility of their different agentic orientations. We build a matrix for identifying the extent to which different forms of agency orient nine NHS organisational types. Interrogating the Strategic and Operational Plans of these organisations for the period 2015–2018 based on questions derived from the matrix, we associate each organisation with one of eight generalised models. Assuming that there is greater potential for integration where organisations mobilise similar forms of agency, we discuss the incentives and potential governance changes that policy makers might consider to enhance integrative potential.

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http://hdl.handle.net/10453/151713