Accountable care? An analysis of national reporting on local health and social care service integration

  • Sean Tunney
  • Jane ThomasEmail author
Original Article


This paper analyses how the UK national press has covered local decision-making on options for the integration of health and social care. In England, as part of a major restructuring of health services, the UK government has devolved significant decisions on reorganising services to local areas. This increasing ‘localism’ in healthcare has been a global trend, albeit an uneven one. The article assesses the insights of Amitai Etzioni and others, as applied to national newspaper coverage of local decisions. It finds Etzioni’s analysis to be not fully supported. Following other journalism research on the NHS, we show that contentious points of wider public interest were little reported on, such as international corporate influence and the potential for fragmentation across a national health service.


Accountable care organisations Amitai Etzioni Health and social care integration Health journalism Localism NHS 



The authors would like to thank the anonymous reviewers for their very helpful insights and suggestions.


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Copyright information

© Springer Nature Limited 2018

Authors and Affiliations

  1. 1.Department of Media, Culture and LanguageUniversity of RoehamptonLondonUK
  2. 2.College of Nursing, Midwifery and HealthcareUniversity of West LondonLondonUK

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