Hammond, Jonathan and Speed, Ewen and Allen, Pauline and McDermott, Imelda and Coleman, Anna and Checkland, Kath (2018) 'Autonomy, accountability, and ambiguity in arm’s-length meta-governance: the case of NHS England.' Public Management Review. ISSN 1461-667X

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Abstract

Meta-governance involves orchestrating the ‘rules of the game’ in public management. Arm’s-length bodies are particularly important vehicles for this. We consider the case of an arm’s-length body (NHS England) created to oversee the English NHS’ day-to-day operation, and remove ‘political interference’. Although mandated by the Department of Health it has increasingly operated as policy-maker, developing policies in tension with existing legislation, while Ministers have faded from public-facing accounts of service operation. This suggests NHS England operates as a meta-governor, insulating government whilst pursuing its own agenda, and raises crucial questions about governmental accountability whilst simultaneously making answers harder to obtain.

Item Type:	Article
Uncontrolled Keywords:	Meta-governance, Accountability, Autonomy, Healthcare, NHS
Subjects:	H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management H Social Sciences > HM Sociology R Medicine > RA Public aspects of medicine
Divisions:	Faculty of Science and Health > Health and Social Care, School of
Depositing User:	Elements
Date Deposited:	20 Nov 2018 12:11
Last Modified:	16 May 2020 01:00
URI:	http://repository.essex.ac.uk/id/eprint/23502

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