Purpose – The purpose of this article is to provide answers to two questions: what has been the impact of nGMS on practice organisation and teamwork; and how do general practice staff perceive the impact? Design/methodology/approach – The article is based on comparative in‐depth case...

Purpose – The purpose of this paper is to present a study of how quality improvement tools and techniques are framed within healthcare settings. Design/methodology/approach – The paper employs an interpretive approach to understand how quality improvement tools and techniques are mobilised...

Purpose – The purpose of the paper is to examine the metaphors used by senior managers and clinicians in the delivery of healthcare reform. Design/methodology/approach – A study of healthcare reform in England carried out a series of semi structured interviews with senior managers and...

Purpose – The purpose of this research is to examine the issues of decentralisation in the NHS. Design/methodology/approach – Evidence was gathered from an empirical study in order to illustrate the effect of policy reform on relationships at both the central and the local level. In this...