Understanding Change in the NHS

Pettigrew (Pettigrew A., 1988) argues that research in change within the NHS should be looked at from a processual, comparative, pluralist and historical perspective.   He further argues that the NHS has been, since the mid 80s, under a number of pressures which he attributes to the following:

  • growth in the public demand for services
  • the pace of technological change
  • cash limits to welfare provision
  • growth of consumerism
  • government’s changing priorities.

He highlights the fact that there is a gap between statements of strategic intentions and operational reality – the difference between rhetoric and reality.


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Sense making
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2 Responses to Understanding Change in the NHS

  1. mymindbursts says:

    i thought you might enjoy this http://www.phdcomics.com/comics.php. I’d like to publish a blog roll of ‘our’ bloggers and wondered how you’d feel? This woul be featured on the faculty website.

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