000 01649naa a2200193uu 4500
001 10371
003 OSt
005 20190211155022.0
008 030122s2005 xx ||||gr |0|| 0 eng d
100 1 _aHUDSON, Bob
_94967
245 1 0 _aLocalization and partnership in the `new national health service` :
_bEngland and scotland compared
260 _c2001
520 3 _aThis article examines some important and interesting differences in the designs of the `New NHS` in England an Scotland in respect of two common guiding imperatives - localization and partnership. In examining the view of key local stakeholders face with introducing the changes, we contrast the generally more flexible and less prescriptive approach in Scotland. In England there was, initially, a reft of guidance from the centre: in Scotland by contrast, there was virutally none. In England the prime bases for localization wil be PCGs and PCTs: in Scotland they will be Local Health Care Co-operatives (LHCCs). The later, like the english PCGs, are to be PG-led; but unlike PCGs, membership is voluntary. Underlying such redesign of the organizational architecture are some important changes in cultures and modes of governance. In particular , we note the rhetoric of a shift, at macro-level, from hierarchies and quasi-markets to networks and the perceived rality of a microlevel shift for individualism to collegiality amongst GPs
700 1 _aHARDY, Brian
_919494
773 0 8 _tPublic Administration an International Quarterly
_g79, 2, p. 315-335
_d, 2001
_w
942 _cS
998 _a20030122
_bCassio
_cCassio
998 _a20060609
_b1602^b
_cQuiteria
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c10497
_d10497
041 _aeng