The book explores the various management knowledges and associated texts apparent in English health care organizations, reflecting on the nature, production, and consumption of management knowledge, and the influence of political economy and changing institutional forms during the period of the politics of austerity.

This work explores the various management knowledges and associated texts apparent in English health care organizations, reflecting on the nature, production, and consumption of management knowledge, and the influence of political economy and changing institutional forms during the period of the politics of austerity.

Austerity is perhaps the major challenge of our times, given the speed at which it arrived and the consequences of its impact upon society. The global financial crash and economic downturn was the catalyst for change and, against a backdrop of advice from experts adverse to Keynesian economics, the ideology of austerity grew and became the dominant thinking to steer economies out of recession. This comprehensive volume draws upon both quantitative and qualitative research methodologies to provide a varied and contextually rich insight into sport, policy, and politics in an era of austerity. The authors cover a wide range of issues in a variety of organisational contexts and geographies, including sports participation across different socio-demographic groups; the impact of austerity on the provision of community sports; disability sport; public management of sport facilities; the performance of public sport facilities with respect to access, finance, utilisation, and customer satisfaction; the potential impact of austerity on sport for development; elite sport; and social inclusion and poverty. This book makes a significant contribution to the current academic debate, while raising important considerations for policymakers and managers. It was originally published as a special issue of The International Journal of Sport Policy and Politics.

Networks have become a prominent template for public service governance. Often seen as an alternative to hierarchies and contracts, networks cross institutionalized organizational or sectoral boundaries to promote collaboration and the sharing of resources when addressing complex problems. Nowhere is this more the case than in the field of health services modernization and improvement. Comprising unique empirical contributions, drawn primarily from the experience of the UK National Health Service (NHS), this edited collection develops a ‘decentred’ analysis of health and care networks. Contributors look beyond particular structures or patterns of governance and focus instead on the interpretation of the meaningful practices of policy actors as they encounter and enact policy instruments and structures. The approach offers a distinct form of analysis that deepens and enriches more traditional public policy accounts of network governance. It recognizes the influence of local history, highlights the influence of dominant economic, technical and corporate narratives, and acknowledges the continued influence of biomedical knowledge and professional expertise. Offering practical insight for current and future service leaders about the challenges of implementing, managing and working within networks, this book draws out key messages for practitioners and researchers alike.

The COVID-19 pandemic has led to radical transformations in the organisation and delivery of health and care services across the world. In many countries, policy makers have rushed to re-organise care services to meet the surge demand of COVID-19, from re-purposing existing services to creating new ‘field’ hospitals. Such strategies signal important and sweeping changes in the organisation of both ‘COVID’ and ‘non-COVID’ care, whilst asking more fundamental questions about the long-term organisation of care ‘after COVID’. In some contexts, the pandemic has exposed the fragilities and vulnerabilities of care systems, whilst in others, it has shown how services are organised to be more resilient and adaptive to unanticipated pressures. The COVID-19 pandemic presents a rare opportunity to examine empirically and to develop new theoretical frameworks on how and why health systems adapt to such unusual and intense pressures. International contributors consider how responses to COVID-19 are transforming the organisation and governance of health and care services and explore questions around strategic leadership at local, regional, national and transnational level. The book offers unique insight and analysis on the dynamics of policy-making, the organisation and governance of care organisations, the role of technologies in governing, the changing role of professionals and the possibilities for more resilient care systems.

Recent years have seen an enormous increase in protests across the world in which citizens have challenged what they see as a deterioration of democratic institutions and the very civil, political and social rights that form the basis of democratic life. Beginning with Iceland in 2008, and then forcefully in Egypt, Tunisia, Spain, Greece and Portugal, or more recently in Peru, Brazil, Russia, Bulgaria, Turkey and Ukraine, people have taken to the streets against what they perceive as a rampant and dangerous corruption of democracy, with a distinct focus on inequality and suffering. This timely new book addresses the anti-austerity social movements of which these protests form part, mobilizing in the context of a crisis of neoliberalism. Donatella della Porta shows that, in order to understand their main facets in terms of social basis, strategy, and identity and organizational structures, we should look at the specific characteristics of the socioeconomic, cultural and political context in which they developed. The result is an important and insightful contribution to understanding a key issue of our times, which will be of interest to students and scholars of political and economic sociology, political science and social movement studies, as well as political activists.

Austerity has been at the center of political controversy following the 2008 financial crisis, invoked by politicians and academics across the political spectrum as the answer to, or cause of, our post-crash economic malaise. However, despite being the cause of debate for more than three centuries, austerity remains a poorly understood concept. In this book, Suzanne J. Konzelmann aims to demystify austerity as an economic policy, a political idea, and a social phenomenon. Beginning with an analysis of political and socioeconomic history from the seventeenth century, she explains the economics of austerity in the context of the overall dynamics of state spending, tax, and debt. Using comparative case studies from around the world, ranging from the 1930s to post-2008, she then evaluates the outcomes of austerity in light of its stated objectives and analyzes the conditions under which it doesn’t – and occasionally does – work. This accessible introduction to austerity will be essential reading for students and scholars of political economy, economics, and politics, as well as all readers interested in current affairs.