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A history of the intermediate tier in the English NHS: Centre, region, periphery

Research output: Contribution to Journal/MagazineJournal articlepeer-review

E-pub ahead of print
<mark>Journal publication date</mark>17/03/2024
<mark>Journal</mark>Social Policy and Administration
Number of pages14
Publication StatusE-pub ahead of print
Early online date17/03/24
<mark>Original language</mark>English


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.