عنوان

Competing knowledges in turbulent times :

TLets713059

Competing knowledges in turbulent times :

[Thesis]

Ledger, Jean Elizabeth

the use of management knowledge in commissioning organisations in the English NHS

Ferlie, Ewan ; McGivern, Gerald

King's College London

2014

Ph.D.

King's College London

2014

There is currently little empirical research exploring the uptake of management and organisational knowledge in primary care settings. More is understood about the transfer of clinical research evidence into practice to improve outcomes for patients and to keep professional knowledge up-to-date. This study uses a longitudinal, comparative case study design to explore how Primary Care Trusts (PCTs) and emergent Clinical Commissioning Groups (CCGs) applied managementbased knowledges within their organisations, documenting how this changed in response to shifting events (political, economic) at the macro level. Both case study sites underwent profound processes of organisational change and uncertainty during the period 2010-2012, so we contextualise the study's overarching findings in a wider process of policy 'turbulence'. The thesis identifies sources of management knowledge accessed by health care organisations and professionals engaged in commissioning work over time. Our findings reveal that commissioning organisations drew upon varied forms of health care management expertise from a range of knowledge suppliers: management consultancy firms, policy advisors, health care think tanks, management academics and local knowledge 'champions'. The process of management knowledge utilisation in the health sector is therefore described as especially non-linear, pluralist and contingent on external reform narratives that focus managerial and clinical priorities.

Ledger, Jean Elizabeth

McGivern, Gerald

Ferlie, Ewan

King's College London

p

[Thesis]

276903

a

Y