Centre-periphery relations have constituted a paradox for the English National Health Service (NHS) since its creation in 1948. Is it a top-down national service organised locally, or a bottom-up arrangement of local health systems managed nationally? North West England provides a regional case study which traces the changing organisational, relational and spatial dimensions of the intermediate tier. These reposition centre-periphery tensions. In foregrounding, situating and conceptualising region in these terms, I offer new insight into existing narratives and centre-periphery relations in the NHS.
CITATION STYLE
Lambert, M. (2024). A history of the intermediate tier in the English NHS: Centre, region, periphery. Social Policy and Administration. https://doi.org/10.1111/spol.13019
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