{"title":"A history of the intermediate tier in the English NHS: Centre, region, periphery","authors":"Michael Lambert","doi":"10.1111/spol.13019","DOIUrl":null,"url":null,"abstract":"Centre‐periphery relations have constituted a paradox for the English National Health Service (NHS) since its creation in 1948. Is it a top‐down national service organised locally, or a bottom‐up arrangement of local health systems managed nationally? North West England provides a regional case study which traces the changing organisational, relational and spatial dimensions of the intermediate tier. These reposition centre‐periphery tensions. In foregrounding, situating and conceptualising region in these terms, I offer new insight into existing narratives and centre‐periphery relations in the NHS.","PeriodicalId":47858,"journal":{"name":"Social Policy & Administration","volume":"40 1","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Policy & Administration","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1111/spol.13019","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DEVELOPMENT STUDIES","Score":null,"Total":0}
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Abstract
Centre‐periphery relations have constituted a paradox for the English National Health Service (NHS) since its creation in 1948. Is it a top‐down national service organised locally, or a bottom‐up arrangement of local health systems managed nationally? North West England provides a regional case study which traces the changing organisational, relational and spatial dimensions of the intermediate tier. These reposition centre‐periphery tensions. In foregrounding, situating and conceptualising region in these terms, I offer new insight into existing narratives and centre‐periphery relations in the NHS.
期刊介绍：
Social Policy & Administration is the longest established journal in its field. Whilst remaining faithful to its tradition in academic excellence, the journal also seeks to engender debate about topical and controversial issues. Typical numbers contain papers clustered around a theme. The journal is international in scope. Quality contributions are received from scholars world-wide and cover social policy issues not only in Europe but in the USA, Canada, Australia and Asia Pacific.
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