e-space
Manchester Metropolitan University's Research Repository

‘Real-world’ priority setting for service improvement in English primary care: a decentred approach

Kislov, Roman ORCID logoORCID: https://orcid.org/0000-0003-2525-7673, Checkland, Kath, Wilson, Paul M and Howard, Susan J (2021) ‘Real-world’ priority setting for service improvement in English primary care: a decentred approach. Public Management Review. ISSN 1471-9037

[img]
Preview
Published Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (1MB) | Preview

Abstract

This article develops an analysis of population-level priority setting informed by Bevir’s decentred theory of governance and drawing on a qualitative study of priority setting for service improvement conducted in the complex multi-layered governance context of English primary care. We show how powerful actors, operating at the meso-level, utilize pluralistic and contradictory elements of complex governance networks to discursively construct, legitimize and enact service improvement priorities. Our analysis highlights the role of situated agency in integrating top-down, bottom-up and horizontal influences on priority setting, which leads to variation in local priorities despite the continuous presence of strong hierarchical influences.

Impact and Reach

Statistics

Activity Overview
6 month trend
44Downloads
6 month trend
52Hits

Additional statistics for this dataset are available via IRStats2.

Altmetric

Actions (login required)

View Item View Item