Public management ‘reform’ narratives and the changing organisation of primary care

摘要

Key messagesThe prime audience of general and clinical managers in primary healthcare and primary care trust (PCT) board members should consider the following questions: class="enumerated" style="list-style-type:decimal">Does the new government have a coherent and enduring narrative of public services reforming? If so, what are the implications for the primary care organisations?What are the most important organisational ideas currently evident in the primary care field nationally, regionally and locally?Is there a shift back to New Public Management (NPM) governance?What implications do any such ideas have for major organisational change in my local PCT?