Professional competition and modernizing the clinical workforce in the NHS
- 17 June 2009
- journal article
- research article
- Published by SAGE Publications in Work, Employment & Society
- Vol. 23 (2), 267-284
- https://doi.org/10.1177/0950017009102858
Abstract
Located within a debate about changing organizational forms and new workforce roles this article provides an analysis of policy attempts to modernize the healthcare workforce. Theoretically, the article draws upon sociology of professions literature to focus upon competition within and between professions that impacts upon new roles in the NHS for doctors, designed to combine specialist and generalist knowledge and cross organizational and professional boundaries. The article highlights that attempts by policy-makers to reconfigure the clinical workforce may be constrained due to attempts at occupational closure by more powerful professional groups and by associated concerns about professional identities.Keywords
This publication has 26 references indexed in Scilit:
- Professional legitimacy claims in the multidisciplinary workplace: the case of heart failure careSociology of Health & Illness, 2007
- General Practitioners with special clinical interests: A qualitative study of the views of doctors, health managers and patientsHealth Policy, 2007
- Dynamic professional boundaries in the healthcare workforceSociology of Health & Illness, 2005
- Archetype Theory and the Changing Professional Organization: A Critique and AlternativeOrganization, 2003
- General practitioners with special clinical interestsBMJ, 2003
- Imbalances in the GP Labour Market in the UK: Evidence from a Postal Survey and Interviews with GP LeaversWork, Employment & Society, 2001
- Skill-Mix Changes and Work Intensification in NursingWork, Employment & Society, 2000
- Changes in Skills-Mix and Pay Determination among the Nursing Workforce in the UKWork, Employment & Society, 1999
- Expert Power and Control in Late Modernity: An Empirical Review and Theoretical SynthesisOrganization Studies, 1996
- Professions in the Current ContextWork, Employment & Society, 1990