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Clinical governance and governmentality

Flynn, R 2002, 'Clinical governance and governmentality' , Health Risk & Society, 4 (2) , pp. 155-173.

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Abstract

The introduction of Clinical Governance into the National Health Service in England represents a fundamental shift in the regulatory relationship between the state and medical professionals. This paper critically examines the underlying assumptions of Clinical Governance, and discusses them in relation to Foucauldian concepts of 'governmentality'. First, official definitions of Clinical Governance are reviewed in the context of other policies to apply increased control and surveillance to medical professionals and linkages between this and wider tends in public sector managerialism and governance. The paper then briefly considers these developments in relation to theoretical accounts of bureaucracy, professionalism, risk and trust. It is argued that at the organisational level, Clinical Governance can be usefully analysed as involving a move towards 'encoded knowledge' through the use of 'soft bureaucracy'.

Item Type: Article
Uncontrolled Keywords: Behavioral medicine, health geography, medical sociology, public health - medical sociology, risk, clinical governance, encoded knowledge, governmentality, soft bureaucracy
Themes: Subjects / Themes > R Medicine > RA Public aspects of medicine > RA0001 Medicine and the state
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Social Research
Colleges and Schools > College of Arts & Social Sciences
Colleges and Schools > College of Arts & Social Sciences > School of Humanities, Languages & Social Sciences
Journal or Publication Title: Health Risk & Society
Publisher: Routledge Taylor & Francis
Refereed: Yes
ISSN: 13698575
Depositing User: H Kenna
Date Deposited: 12 Jan 2009 13:41
Last Modified: 20 Aug 2013 16:51
URI: http://usir.salford.ac.uk/id/eprint/1038

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