Accountabilities in the NHS

نویسندگان

چکیده

Abstract This article is based on ethnographic fieldwork carried out with managers, politicians and political activists in the English public healthcare system. Rather than a dominance of financial accountability, I found mish-mash accountabilities, which duty to ‘balance books’ was key driver but one that relied other forms coercion. Campaigners mobilised concept accountability against cuts privatisation. While bureaucrats were often sympathetic activists’ point view, they felt constrained by ‘the reality’ limited funds. Their conceptualisations what possible enclosed . Debate regarding those limits foreclosed sketch these bureaucrats’ ethical imagination, theorising them as ideological closure But at times, managers did imagine alternative possibilities. Mostly, kept quiet alternatives due fear losing their jobs. Thus, corporate – one's employer enforced service retrenchment name accountability.

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ژورنال

عنوان ژورنال: Cambridge Anthropology

سال: 2023

ISSN: ['0305-7674', '2047-7716']

DOI: https://doi.org/10.3167/cja.2023.410109