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Steering, Knowledge and the Challenge of Governance Evaluation: The Case of National Health Service Governance and Reform in England

Author: Dan Greenwood, Thomas Mills

Published in Administration and Society (2019)


Drawing from “robust political economy” (RPE) literature, we address evaluative questions concerning governance effectiveness in the face of complex, cross-cutting problems. Central to RPE is the challenge of coordination, with its fundamental epistemological dimension requiring close attention to stakeholder knowledge about policy impacts. This focus contrasts with process-orientated analysis predominant in political science and public administration and enables holistic governance evaluation that draws from various, often demarcated, research fields. This is demonstrated through a focus on the evolution of health governance in England, particularly how diabetes services in England were affected by the 2012 Health and Social Care Act.

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