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

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A history of the intermediate tier in the English NHS: Centre, region, periphery. / Lambert, Michael.
In: Social Policy and Administration, 17.03.2024.

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Lambert M. A history of the intermediate tier in the English NHS: Centre, region, periphery. Social Policy and Administration. 2024 Mar 17. Epub 2024 Mar 17. doi: 10.1111/spol.13019

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@article{7c116488ac3e421cba79d558cb836d92,
title = "A history of the intermediate tier in the English NHS: Centre, region, periphery",
abstract = "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.",
author = "Michael Lambert",
year = "2024",
month = mar,
day = "17",
doi = "10.1111/spol.13019",
language = "English",
journal = "Social Policy and Administration",
issn = "0144-5596",
publisher = "Wiley-Blackwell",

}

RIS

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 -