Chapter

NHS confidential: Implementation, or … how great expectations in Whitehall are dashed in Stoke-on-trent

Calum Paton

in Shaping Health Policy

Published by Policy Press

Published in print October 2011 | ISBN: 9781847427588
Published online May 2012 | e-ISBN: 9781447305576 | DOI: http://dx.doi.org/10.1332/policypress/9781847427588.003.0016
NHS confidential: Implementation, or … how great expectations in Whitehall are dashed in Stoke-on-trent

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This chapter presents a case study that records the change ‘overnight’ of one of the country's most-improved Trusts (University Hospital of North Staffordshire NHS Trust) from ‘hero to zero’ — in the context of local health economy dis-integration and then disintegration. The case study is written from a personal perspective of a former Chair of this Trust. It demonstrates how the contradictions of national policy vitiated New Labour's health strategy and wasted money, illustrated by an approach of ‘making it up as we go along’ on the NHS.

Keywords: NHS; implementation; University Hospital; North Staffordshire; NHS Trust

Chapter.  7560 words. 

Subjects: Health, Illness, and Medicine

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