Deconstructing the Welfare State: Managing Healthcare in the Age of Reform

Who are NHS middle managers? What do they do, and why and how do they do it’?

This book explores the daily realities of working life for middle managers in the UK’s National Health Service during a time of radical change and disruption to the entire edifice of publicly-funded healthcare. It is an empirical critique of the movement towards a healthcare model based around HMO-type providers such as Kaiser Permanente and United Health. Although this model is well-known internationally, many be...