Care delivery in the current NHS context
DClinPsych Thesis
Argustaite, K. 2023. Care delivery in the current NHS context. DClinPsych Thesis Canterbury Christ Church University Salomons Institute of Applied Psychology
Authors | Argustaite, K. |
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Type | DClinPsych Thesis |
Qualification name | Doctor of Clinical Psychology |
Abstract | SECTION A: Since Francis report (2013) exposed systemic NHS culture issues that led toorganisational failings, there has been an increased interest in researching NHS organisational SECTION B: A turn towards a neoliberal mode of NHS governance in the 1980s gave rise to business-efficiency-led organisational NHS culture that can conflict with compassionate care priorities. However, research on how clinicians manage these competing NHS rhetorics remains scarce. Therefore, this study utilised Foucauldian Discourse Analysis to explore NHS clinicians' language regarding care delivery. Following an analysis of seven organisational meetings from a single Mental Health Directorate in the South East of England, four discourses were identified. In turn, they describe a dominant care-as-business rhetoric, a discourse of managerialism that ensured adherence to the NHS-as-business governance, a state of crisis in the current care delivery standards and a competing discourse based on compassion that aimed to rebalance power relations in the NHS. The research findings highlight how taken-for-granted business rhetoric shape clinical action and demonstrate the need to consider the broader socio-political context when evaluating care delivery standards and facilitating organisational culture transformation |
Keywords | Current NHS context; Care delivery |
Year | 2023 |
File | File Access Level Open |
Supplemental file | File Access Level Restricted |
Publication process dates | |
Deposited | 18 Sep 2023 |
https://repository.canterbury.ac.uk/item/95w35/care-delivery-in-the-current-nhs-context
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