Eighteen. Accidental logics, Carolyn Hughes Tuohy’s analysis of the English National Health Service internal market of the 1990s

Chapters in this book

1. Frontmatter i
2. Contents v
3. List of figures and tables vii
4. Contributors ix
5. Abbreviations xi
6. Acknowledgements xiii
7. Part One
8. One. Case studies in health policy: an introduction 3
9. Two. Case studies of the health policy process: a methodological introduction 21
10. Part Two Creation, consolidation and disillusion (1948–1980s)
11. Three. NHS birthing pains 41
12. Four. Hospital policy in England and Wales: of what is the 1962 Hospital Plan a case? 59
13. Five. The case study as history: ‘Ideology, class and the National Health Service’ by Rudolf Klein 77
14. Six. Hospitals in trouble 95
15. Seven. Normal accidents: learning how to learn about safety 107
16. Eight. Repressed interests: explaining why patients and the public have little influence on healthcare policy: Alford’s concepts of dominant, challenging and repressed interests 119
17. Part Three ‘Safe in our hands’: conflicts and challenges (1980s and 1990s)
18. Nine. The 1983 Griffiths Inquiry 133
19. Ten. AIDS in the UK: The making of policy, 1981–1994 (Berridge, 1996): a case study in British health policy 151
20. Eleven. What the doctor ordered: the Audit Commission’s case study of general practice fundholders 165
21. Twelve. Coping with uncertainty: Policy and politics in the National Health Service (Hunter, 1980) 185
22. Thirteen. Shaping strategic change: changing the way organisational change was researched in the NHS 201
23. Part Four. The new NHS? The NHS since the 1990s
24. Fourteen. Patient choice: a contemporary policy story 217
25. Fifteen. The individualisation of health: health surveillance, lifestyle control and public health 233
26. Sixteen. NHS confidential: Implementation, or … how great expectations in Whitehall are dashed in Stoke‑on‑Trent 249
27. Seventeen. Implementing clinical guidelines: a case study of research in context 267
28. Eighteen. Accidental logics, Carolyn Hughes Tuohy’s analysis of the English National Health Service internal market of the 1990s 279
29. Nineteen. Evidence and health inequalities: the Black, Acheson and Marmot Reports 291
30. Part Five
31. Twenty. Policy learning from case studies in health policy: taking forward the debate 313
32. Twenty-one. Case studies in health policy: concluding remarks 329
33. Index 339