Managing social change : a process-sociological approach to understanding organisational change within the National Health Service

Using the implementation of the Griffiths Report as an example, this paper examines the way in which sociologists and others have examined the process of managing change within the NHS. Several studies of Griffiths have documented a number of unintended consequences of its implementation but it is argued that none of these have adequately theorised these unintended outcomes of the policy implementation process. It is suggested that the process-sociological approach of Norbert Elias, and in particular his game models, enable us better to understand the complex interweaving of planned and unplanned processes which is involved in all processes of managed change.

[1]  R. Griffiths.  Seven years of progress--general management in the NHS. , 1992, Health economics.

[2]  M. Stern.  In Care of the State: Health Care, Education, and Welfare in Europe and the USA in the Modern Era , 1990, History of Education Quarterly.

[3]  M. Manning,et al.  Conflict Management and Organizational Development. , 1989 .

[4]  C. Davies.  Viewpoint. Things to come: the NHS in the next decade. , 1987, Sociology of health & illness.

[5]  Norbert Elias.  The Retreat of Sociologists into the Present , 1987 .

[6]  R. Petchey.  The Griffiths reorganisation of the National Health Service: Fowlerism by stealth? , 1986 .

[7]  R. Klein,et al.  Two views on the Griffiths report. The mobilisation of consent versus the management of conflict: decoding the Griffiths report. , 1983, British medical journal.

[8]  Norbert Elias.  Civilization and Violence: On the State Monopoly of Physical Violence and its Infringements , 1982, Telos.

[9]  Norbert Elias,et al.  Zur Grundlegung einer Theorie sozialer Prozesse / Towards a Theory of Social Processes , 1977 .

[10]  E. Dunning,et al.  The Bifurcation of Rugby Union and Rugby League: a Case Study of Organizational Conflict and Change , 1976 .

[11]  I. Waddington.  The struggle to reform the Royal College of Physicians, 1767-1771: a sociological analysis. , 1973, Medical History.

[12]  A. Ph.  Seven Years of Progress. , 1963 .

[13]  R. Merton.  Social Theory and Social Structure , 1958 .

[14]  M FISHBEIN,et al.  Health and social security. , 1948, Journal of the American Medical Association.

[15]  R. Merton.  The unanticipated consequences of purposive social action , 1936 .

[16]  Christopher Pollitt,et al.  Just managing: Power and culture in the National Health Service , 1992 .

[17]  Andrew Pettigrew,et al.  Shaping Strategic Change , 1992 .

[18]  S. Mennell.  Norbert Elias: Civilization, and the human self-image , 1989 .

[19]  Norbert Elias,et al.  Involvement And Detachment , 1987 .

[20]  Norbert Elias,et al.  State formation and civilization , 1982 .

[21]  Norbert Elias,et al.  What Is Sociology , 1978 .

[22]  J. Goudsblom.  Sociology in the balance: A critical essay , 1977 .

[23]  F. Hayek.  The economic nature of the firm: The use of knowledge in society , 1945 .

[24]  Norbert Elias,et al.  The Civilizing Process , 1939 .