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 believe it to be financially and ethically questionable, and often far from 'best practice' when it comes to patient care. Drawing on immersive ethnographic research based on four case studies – an Acute Hospital Trust, an Ambulance Trust, a Mental Health Trust, and a Primary Care Trust – this book provides an in-depth critical appraisal of the everyday experiences of a range of managers working in the NHS. It describes exactly what NHS managers do and explains how their roles are changing and the types of challenges they face. The analysis explains how many NHS junior and middle managers are themselves clinicians to some extent, with hybrid roles as simultaneously nurse and manager, midwife and manager, or paramedic and manager. While commonly working in ‘back office’ functions, NHS middle managers are also just as likely to be working very close to or actually on the front lines of patient care. Despite the problems they regularly face from organizational restructuring, cost control and demands for accountability, the authors demonstrate that NHS managers – in their various guises – play critical, yet undervalued, institutional roles. Depicting the darker sides of organizational change, this text is a sociological exploration of the daily struggle for work dignity of a complex, widely denigrated, and largely misunderstood group of public servants trying to do their best under extremely trying circumstances. It is essential reading for academics, students, and practitioners interested in health management and policy, organisational change, public sector management, and the NHS more broadly.

This book presents an alternative theoretical approach to the study of the transformation of the modern welfare state. It draws upon the undogmatic Marxism of Gramsci in order to deconstruct the Marxist tradition and develop a general theory of capitalist regulation which emphasizes the primacy of the political. In so doing, it seeks to integrate French regulation theory and British state theory within the broader framework of discourse analysis. This theoretical framework is applied in an empirical analysis of the Danish variant of the Scandinavian welfare state model. The book is written for advanced undergraduates, postgraduates and professionals within the field of political theory, institutional economics and sociology.

From a critical perspective, some early childhood educators have proposed that the knowledge base used to ground the field actually serves to support the status quo, reinforces prejudices and stereotypes, and ignores the real lives of children. The purpose of this book is to deconstruct early childhood education, identifying and evaluating the themes and forms of discourse that have dominated the field, leading to the construction of specific theories and forms of practice that privilege particular groups of children and adults and oppress others. An alternative avenue for early childhood education is posited that focuses on social justice and human agency.

This timely and original book explores new migration challenges such as asylum seekers and Europe's increasingly restrictive immigration policies.

Today the United States has one of the highest poverty rates among the world's rich industrial democracies. The Failed Welfare Revolution shows us that things might have turned out differently. During the 1960s and 1970s, policymakers in three presidential administrations tried to replace the nation's existing welfare system with a revolutionary program to guarantee Americans basic economic security. Surprisingly from today's vantage point, guaranteed income plans received broad bipartisan support in the 1960s. One proposal, President Nixon's Family Assistance Plan, nearly passed into law in the 1970s, and President Carter advanced a similar bill a few years later. The failure of these proposals marked the federal government's last direct effort to alleviate poverty among the least advantaged and, ironically, sowed the seeds of conservative welfare reform strategies under President Reagan and beyond. This episode has largely vanished from America's collective memory. Here, Brian Steensland tells the whole story for the first time--from why such an unlikely policy idea first developed to the factors that sealed its fate. His account, based on extensive original research in presidential archives, draws on mainstream social science perspectives that emphasize the influence of powerful stakeholder groups and policymaking institutions. But Steensland also shows that some of the most potent obstacles to guaranteed income plans were cultural. Most centrally, by challenging Americans' longstanding distinction between the "deserving" and "undeserving" poor, the plans threatened the nation's cultural, political, and economic status quo.

A major orginal work of social theory, this book presents a distinctive and tightly argued theoretical model for understanding the basis of welfare in society. The author develops a theory of welfare based on a series of basic propositions: that people live in society and have obligations to each other; that welfare is obtained and maintained through social action; and that the welfare state is a means of promoting and maintaining welfare in society. Each of these propositions is examined and developed to suggest a clear way of understanding the foundations of social welfare. The book make a lively and informative contribution to debates in social policy, as well as moral philosophy, political theory and social theory.

Since the early 1970s, social psychology has been in crisis. At the time Reconstructing Social Psychology (Armistead) provided a critical review of theories and assumptions in the discipline. Originally published in 1990, this title not only updates that review but illustrates the ways in which assumptions had changed at the time. The crisis is no longer seen as one which can be resolved within social psychology itself, but rather as one more deeply rooted in modern society. The contributors look at the issues raised by deconstruction in the other human sciences, as well as investigating the claims made by social psychology as a discipline. They examine the rhetoric and texts of social psychology, analysing how the texts which hold the discipline together obtain their power. The arguments include the political implications of deconstructive ideas, focusing on particular issues such as research, therapy and feminism. Deconstructing Social Psychology presents a strong selection of new critical writing in social psychology. It will still be a useful text for students of psychology, social science, and sociology, and for those working in the area of language.