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Emerging Hybridity: A Comparative Analysis of Regulatory Arrangements in the Four Countries of the UK

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Managing Improvement in Healthcare

Part of the book series: Organizational Behaviour in Health Care ((OBHC))

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Abstract

Healthcare regulation is one means of addressing quality challenges, and is carried out using compliance and deterrence approaches. This study in this chapter aims to understand emerging regulatory models through comparison in the United Kingdom (UK). Data was collected and analysed thematically from 90 policy documents and 48 interview participants from six regulatory agencies. The study shows that regulatory agencies use different approaches. Nevertheless, they face common problems which relate to their ability to balance their stated goals. The study finds that hybrid regulatory models are developing, using directive improvement support concurrently with deterrence and compliance models. The chapter shows that the development of hybrid models is complex and identify three challenges: roles, resources and relationships.

This chapter is adapted from a previously published article available open access under a CC BY 4.0 license at https://doi.org/10.1108/JHOM-06-2016-0109.

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Authors and Affiliations

  1. NHS Improvement, London, UK

    Joy Furnival

  2. Alliance Manchester Business School, University of Manchester, Manchester, UK

    Ruth Boaden & Kieran Walshe

Authors
  1. Joy Furnival
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  2. Ruth Boaden
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  3. Kieran Walshe
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Correspondence to Joy Furnival .

Editor information

Editors and Affiliations

  1. Cardiff Business School, Cardiff University, Cardiff, United Kingdom

    Aoife M. McDermott

  2. Cardiff Business School, Cardiff University, Cardiff, United Kingdom

    Martin Kitchener

  3. Health Services Management Centre, University of Birmingham, Birmingham, United Kingdom

    Mark Exworthy

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Furnival, J., Boaden, R., Walshe, K. (2018). Emerging Hybridity: A Comparative Analysis of Regulatory Arrangements in the Four Countries of the UK. In: McDermott, A., Kitchener, M., Exworthy, M. (eds) Managing Improvement in Healthcare. Organizational Behaviour in Health Care. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-62235-4_4

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