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An era of governance through performance management - New Labour's National Health Service from 1999 to 2010

Ferry, Laurence and Scarparo, Simona 2015, An era of governance through performance management - New Labour's National Health Service from 1999 to 2010, Accounting history review, vol. 25, no. 3, pp. 219-238, doi: 10.1080/21552851.2015.1091673.

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Title An era of governance through performance management - New Labour's National Health Service from 1999 to 2010
Author(s) Ferry, Laurence
Scarparo, Simona
Journal name Accounting history review
Volume number 25
Issue number 3
Start page 219
End page 238
Total pages 20
Publisher Taylor & Francis
Place of publication Abingdon, Eng.
Publication date 2015
ISSN 2155-286X
2155-2851
Keyword(s) accountability
performance management
accounting history
National Health Service
health care
governmentality
Summary In 1997, the New Labour government inherited a ‘crisis’ in the UK National Health Service from the outgoing Conservative government. To address this perceived crisis, New Labour offered investment and, contrary to expectations, further neo-liberal health service reforms. In particular, the government extended the scope of performance management beyond financial numbers to encompass all aspects of managerial and organisational performance. Drawing on an analytics of government framework, this paper demonstrates how reforms were framed and given meaning through a framework of hierarchical accountability and centralised control. These panoptical arrangements relied on performance-management technologies of targets and ratings, which were linked to patient choice and a prospective funding system called ‘Payment by Results’. In turn, these top-down technologies disciplined knowledge, identity, and visibility and control of practice.

Language eng
DOI 10.1080/21552851.2015.1091673
Field of Research 150199 Accounting, Auditing and Accountability not elsewhere classified
Socio Economic Objective 970115 Expanding Knowledge in Commerce, Management, Tourism and Services
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Taylor & Francis
Persistent URL http://hdl.handle.net/10536/DRO/DU:30079412

Document type: Journal Article
Collections: Faculty of Business and Law
School of Accounting, Economics and Finance
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