Journal article icon

Journal article

Change and Decision Making in the NHS: The Case of Care Programme Approach

Abstract:

Using the Care Programme Approach (CPA) as an example, this article examines the difficulties of implementing change within the National Health Service (NHS). A framework is suggested which aims to clarify the nature of change by distinguishing where, when and how decisions are made. It is argued that structural change in the NHS and the related emergence of new institutions, systems, relationships and operational principles, have generated new uncertainties and ambiguities. A fuller apprecia...

Expand abstract

Actions


Publication date:
1998-01-01
UUID:
uuid:1c565603-a2a3-41e2-b9b1-a20409ffea00
Local pid:
oai:eureka.sbs.ox.ac.uk:407
Deposit date:
2011-05-19

Terms of use


Views and Downloads






If you are the owner of this record, you can report an update to it here: Report update to this record

TO TOP