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Title: The impact of successive neoliberal policy reforms since 1980 on a case study group of doctors, nurses and managers in Primary Care Trusts (PCTs) in the National Health Service (NHS) in England
Author: Truman, Susan Mary
ISNI:       0000 0004 6425 2442
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2015
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The thesis considers the views of health professionals as to the impact of successive neoliberal health policies on the National Health Service in England. It is a case study of 27 doctors, nurses and managers in a primary health care trust in South East England. The literature regarding the shifting pattern of health policy in the United Kingdom as a result of neoliberalism was consulted and an analysis made, both of the development of neoliberalism in the United Kingdom and of the resultant developments in medicine, nursing and management. The study adopts a conceptual framework adapted from the work of cultural theorist Raymond Williams, in particular the concepts of ‘epochal’ analysis and ‘structures of feeling’. The research methodology is a hybrid approach based on these two concepts and inductive, interpretive phenomenological analysis. The research was carried out through interviews with doctors, nurses and managers in the case study primary care trust, using one open-ended question. These interviews were carried out over the period June 2012 to April 2013. The data collected was analysed using an analytical tool combining both a priori deductive coding and inductive phenomenological coding. Conclusions were drawn from the analysis. The research has provided new insights into, what is widely acknowledged as, the problematic nature of the relationships between and within groups of doctors, nurses and managers in National Health England, particularly since the introduction of neoliberal policy reforms. Recommendations are that whilst there is a debate regarding the development towards full scale regulation for managers in the NHS or at least increased professional parameters, there is also a need for greater cooperation between doctors, nurses and managers that recognize a range of diverse and individualised perspectives. Accepting these as part of neoliberal organizational complexity.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available