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Reframing Social Citizenship$
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Peter Taylor-Gooby

Print publication date: 2008

Print ISBN-13: 9780199546701

Published to Oxford Scholarship Online: January 2009

DOI: 10.1093/acprof:oso/9780199546701.001.0001

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Second‐Order Challenges: Disenchantment, Disquiet, and Mistrust

Second‐Order Challenges: Disenchantment, Disquiet, and Mistrust

(p.146) 9 Second‐Order Challenges: Disenchantment, Disquiet, and Mistrust
Reframing Social Citizenship

Peter Taylor‐Gooby

Oxford University Press

This chapter explores public understanding of and responses to the reform programme in more detail. Analysis of attitude surveys, media discussions, and political debates shows that the NHS remains highly valued. The disquiet surrounding the reforms continues despite objective improvements in treatment for most groups. Detailed interviews with members of the public show that the managerial and market reforms are regarded as irrelevant by most people and that there is widespread concern that these changes are undermining staff commitment to the interests of service-users. Declining public trust and the sense that policy makers do not recognise public concerns are central to the debate.

Keywords:   NHS, attitude surveys, media, politics, values, disquiet, concern, confidence, trust

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