2016
DOI: 10.1075/jlp.15.3.04bro
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Opening up the NHS to market

Abstract: Since its implementation, the British Government’s controversial 2013 Health and Social Care Act has had far-reaching effects on health care provision in England, not least the creation of 212 regional practitioner-led clinical commissioning groups (CCGs) which are now responsible for much of the service provision across the country. Taking as an example the website of one of these new commissioning groups, this study shows that multimodal critical discourse analysis (MCDA) can reveal how health and social car… Show more

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Cited by 17 publications
(11 citation statements)
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References 22 publications
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“…The data also show that private for-profit hospitals are better equipped to treat difficult cases and more complex pathologies. Moreover, a larger proportion of beds in these hospitals are reserved for emergency room and intensive care patients [ 1 - 5 ].…”
Section: Commercialism In Healthcare Servicementioning
confidence: 99%
“…The data also show that private for-profit hospitals are better equipped to treat difficult cases and more complex pathologies. Moreover, a larger proportion of beds in these hospitals are reserved for emergency room and intensive care patients [ 1 - 5 ].…”
Section: Commercialism In Healthcare Servicementioning
confidence: 99%
“…Machin and Mayr (2012, pp. 52–56) and Brookes and Harvey (2016) analyzed multimodal discourses of commercialization and privatization in the websites of U.K. health care providers. Brookes, Harvey, and Mullany (2016) adopted a multimodal critical discourse approach to compare discourses of baby-feeding in public health texts about bottle and breast feeding.…”
Section: Introductionmentioning
confidence: 99%
“…The study thus relates to previous work on how market and enterprise logics entail some dilemmas for rule-governed state bureaucracies (Arellano-Gault et al., 2013; Du Gay, 2000, 2008; Hoggett, 2006). It also contributes to discourse analytical research that has mainly studied the promotional materials from public sector organizations (Brookes and Harvey, 2015, 2016; Fairclough, 1993; Han, 2013; Ledin and Machin, 2015, 2016; Mulderrig, 2018) rather than the meaning-making of the professionals creating such content. From the perspective that communication contributes to constituting organizations (Fairhurst and Putnam, 2006; Kuhn et al., 2017; Putnam and Nicotera, 2008) it is critical to deliberately examine and openly discuss the workings and logics of public sector communication that may have a profound impact on these institutions and citizens, as the present study undertakes to do.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, if organizational identity consists of strong and jointly accepted characteristics that are slowly renewed together with contemporary identity aspirations (Golant et al., 2014), then marketization involves intensified negotiation of purposes and identity (Du Gay, 2004). A marketing-based focus on being competitive through uniqueness can undermine an entire sector’s more basic, national mission to provide equal service to citizens everywhere (Brookes and Harvey, 2016; Sataøen and Wæraas, 2015). An attention-seeking, ‘responsive’ public sector may exceed the boundaries of organizational identity and go ‘out of character’ (see Czarniawska, 1997).…”
Section: Introductionmentioning
confidence: 99%