Flynn, R 2002, 'Clinical governance and governmentality' , Health Risk & Society, 4 (2) , pp. 155-173.
Full text not available from this repository. (Request a copy)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: | Schools > School of Humanities, Languages & Social Sciences Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy |
| 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: | 30 Nov 2015 23:40 |
| URI: | http://usir.salford.ac.uk/id/eprint/1038 |
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