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"A potential fifth column”: conflicts and struggles for control in the context of local NHS privatisation

Aldred, Rachel (2009) "A potential fifth column”: conflicts and struggles for control in the context of local NHS privatisation. Health, 13 (5). pp. 543-561. ISSN 1363-4593

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Official URL: http://dx.doi.org/10.1177/1363459308336797

Abstract

This article uses case study data to discuss how a new procurement policy (Local Improvement Finance Trust, or LIFT) in English primary care may affect general practitioners’ control over their work. LIFT, a series of 51 public–private partnerships, will enable over the medium term a shift towards the corporate ownership of surgeries and the creation of polyclinics or ‘onestop- shops’. In this article, I explore the struggles over work autonomy and control within these new LIFT structures, as expressed by clinicians and managers in meetings and in research interviews. More generally, I consider how the fi ndings inform debates over the changing position of professionals within increasingly fi nancialized ‘local health economies’.

Item Type:Article
Research Community:University of Westminster > Architecture and the Built Environment, School of
ID Code:11178
Deposited On:15 Oct 2012 15:58
Last Modified:15 Oct 2012 15:58

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