Policy as Narrative: New Labour’s Reform of the National Health Service

Posted: 19 Jun 2012  

Kevin Morrell

University of Warwick - Warwick Business School

Date Written: June 19, 2012

Abstract

Beginning with a brief review of the governance literature, a definition of governance in the National Health Service of England and Wales (NHS) is offered. This introduces an analysis of NHS reform, as presented in the recent policy literature. Using narrative theory, I critique this literature with reference to three key actors: the new organizational form of the ‘Foundation Trust’, NHS staff, and NHS patients. For each actor, a motif is identified and examined: ‘freedom’ for Foundation Trusts, ‘clinical governance’ for staff, and ‘choice’ for patients. Each of these motifs is instrumental in the narrative on NHS reform, whose main themes are emancipation, progress and duty. These are common to other political projects. This critique makes the rhetoric underpinning the recent policy literature more explicit, and underlines the created, contingent nature of New Labour’s account of NHS reform.

Keywords: NHS, New Labour, White Paper, Choosing Health, Narrative, Policy process

Suggested Citation

Morrell, Kevin, Policy as Narrative: New Labour’s Reform of the National Health Service (June 19, 2012). Public Administration, 84, 2, 367-385, 2006. Available at SSRN: https://ssrn.com/abstract=2087542

Kevin Morrell (Contact Author)

University of Warwick - Warwick Business School ( email )

Coventry CV4 7AL
United Kingdom

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