Reshaping common sense: management, power and the allure of medical leadership in England’s NHS
Soundings - ISSN 1362-6620
Volume 2018 Number 69
Reshaping common sense: management, power and the allure of medical leadership in England’s NHS
Steve Iliffe, Jill Manthorpe pages -
DOI: 10.3898/SOUN:69.05.2018
Abstract
Leadership in the NHS is deemed necessary because medical science (in its broadest sense, including the knowledge and expertise of a range of expert disciplines) has developed beyond the organisational and management capacities of a health service designed when Penicillin was not yet in widespread use. Attempts to overcome this contradiction by deploying a market-oriented system of general management (New Public Management) have largely failed. This article will outline the historic development of both the medical work that the NHS does, and the ways in which that work is managed. It will then describe the leadership function as it is currently promoted in the NHS, before going on to discuss and evaluate leadership from the perspective of Gramsci’s ideas about the formation of a collective intellectual, and the transition by intellectuals from traditional to organic roles; and it will do so alongside a consideration of the characteristics of the ‘cadre’, as described by Göran Therborn.
SORRY - you are not registered as being permitted online access to the full text of this article
You have the following options:
- If you are viewing this via an institution or academic library you can ask that your institution takes out a Subscription to this journal.
- If you already have a Personal Subscription please login below
Forgotten your username / password? Click here to locate
- Purchase an annual Personal Subscription
PRINT + DIGITAL personal subscription (£40 / year)
DIGITAL personal subscription (£30 / year)
A Personal Subscription provides immediate access not only to the single article you are seeking, but also to all past and future articles in this journal up to the expiry of your annual (calendar year) subscription. - Purchase immediate access to this single article (UK£7.00) - Buy article Coming Soon
To cite this article
Steve Iliffe, Jill Manthorpe (2018) Reshaping common sense: management, power and the allure of medical leadership in England’s NHS, Soundings, 2018(69), -. https://doi.org/10.3898/SOUN:69.05.2018