Final published version
Licence: CC BY: Creative Commons Attribution 4.0 International License
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - A history of the intermediate tier in the English NHS
T2 - Centre, region, periphery
AU - Lambert, Michael
PY - 2024/3/17
Y1 - 2024/3/17
N2 - 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.
AB - 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.
U2 - 10.1111/spol.13019
DO - 10.1111/spol.13019
M3 - Journal article
JO - Social Policy and Administration
JF - Social Policy and Administration
SN - 0144-5596
ER -