Clinical governance and governmentality

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

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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
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: 27 Aug 2021 19:48

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