Rhetoric and rationality: a deconstruction of managerial and nursing discourse in the new NHS
Traynor, Michael (1996) Rhetoric and rationality: a deconstruction of managerial and nursing discourse in the new NHS. PhD thesis, University of Nottingham.
In 1991, the United Kingdom (UK) government introduced reforms of the National Health Service (NHS), the most recent in a series of successive rationalisations aimed at increasing accountability and containing the service's costs. These rationalisations featured the strengthening of managerial control over the traditional professions, among them medicine and nursing, a system of contracting between purchasers and providers of healthcare and an unprecedented emphasis on the control and measurement of inputs particularly in terms of workers' activities.
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