Change and Decision Making in the NHS: The Case of Care Programme Approach

Kessler, Ian and Dopson, Sue (1998) Change and Decision Making in the NHS: The Case of Care Programme Approach. Public Money and Management, 18 (3). pp. 59-64.

Abstract

Using the Care Programme Approach (CPA) as an example, this article examines the difficulties of implementing change within the National Health Service (NHS). A framework is suggested which aims to clarify the nature of change by distinguishing where, when and how decisions are made. It is argued that structural change in the NHS and the related emergence of new institutions, systems, relationships and operational principles, have generated new uncertainties and ambiguities. A fuller appreciation of how the decision-making process operates is necessary to an understanding of how different policy objectives are pursued.

Item Type: Article
Keywords: Public policy
Subject(s): Organisational behaviour
Centre: Faculty of Organisational Behaviour
Date Deposited: 27 Aug 2010 08:29
Last Modified: 23 Oct 2015 14:05
URI: http://eureka.sbs.ox.ac.uk/id/eprint/407

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