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Title: Integrating professional and managerial expertise : shifting boundaries in UK health and social services
Author: Llewellyn, Sue
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2002
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Public sector reform has involved both a re-negotiation of the boundary between managerial and professional work and a re-thinking of the relationships between practising professionals and managerial professionals. This thesis is concerned with the nature of the boundary work that has led to a greater integration between professional and managerial expertise in public services. It is argued that management and professional discourses are organized around the central principles of “costing” and “caring”, respectively. “Costing” is the key focus for managers as they grapple with resource constraints; whilst “caring” is the fundamental concern for professionals in their work with clients/patients. Any integration must address “costing” and “caring” as the entry points to the domains occupied by managers and professionals. The aims of the thesis are first, to understand how the boundary between professional and managerial work in the public sector has been constituted (including an exploration of how that boundary is changing) and, second, to trace at the interface between professional and managerial domains the impact of boundary work through budgets. The empirical work on which this thesis is based was carried out in two different areas of the UK public sector: health and social services. The thesis concludes that boundary work has been achieving integration primarily through the devolution of budgets that create boundary roles (e.g. care managers, GP fundholders and clinical directors). It is argued that budgets, money and numbers can be powerful integrators across the boundary between professional and managerial expertise in public services.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available