Williams, Iestyn;et al. Journal of Health, Organization and Management 2013 (in press)
- An exploration of the experiences of budget holders within the NHS in attempts to implement programmes of disinvestment, and to consider factors which influence the success (or otherwise) of this activity.
- This paper begins with clarification of terminology and a summary of the current state of knowledge with regard to health service disinvestment, before presenting and discussing findings.
- Interviews with 12 PCT staff identified five types of activity currently carried out within the English NHS that might be classified as ‘disinvestment’ie‘invest to save’, substitution, retraction, restriction and ‘true disinvestment’.
- Overall, one of the key messages from the research is that effective disinvestment is reliant upon relationships at both a local and national level.
