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The Strathprints institutional repository is a digital archive of University of Strathclyde research outputs.

Strathprints serves world leading Open Access research by the University of Strathclyde, including research by the Strathclyde Institute of Pharmacy and Biomedical Sciences (SIPBS), where research centres such as the Industrial Biotechnology Innovation Centre (IBioIC), the Cancer Research UK Formulation Unit, SeaBioTech and the Centre for Biophotonics are based.

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It is not Taylorism: mechanisms of work intensification in the provision of gynaecological services in an NHS hospital

Bolton, S.C. and Akroyd, S. (1999) It is not Taylorism: mechanisms of work intensification in the provision of gynaecological services in an NHS hospital. Work, Employment and Society, 13 (2). pp. 369-385. ISSN 0959-0170

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Abstract

The development of a managed National Health Service (NHS) has been a central element of government policy for a substantial part of the last two decades. Within months of taking office in 1979, the first Thatcher administration repudiated the idea of a centrally planned and administered NHS in favour of a declared policy of managed localism (Klein 1995: 124–26; Pollitt 1993: 68–9). However, a somewhat more considered process of policy formation was soon set in train with the commissioning of the Griffiths enquiry and, following the acceptance of its conclusions in 1983, with the introduction of what was called ‘general management’. Since the middle of the 1980s, the management which Griffiths recommended (which allocates considerable decision-making independence to managers within a framework of prescribed budgets) has been consolidated and developed.