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Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: The policy work of piloting: Mobilising and managing conflict and ambiguity in the English NHS
Author(s): Bailey, Simon
Checkland, Kath
Hodgson, Damian
McBride, Anne
Elvey, Rebecca
Parkin, Stephen
Rothwell, Katy
Pierides, Dean
Keywords: Policy pilots
Policy implementation
Policy entrepreneursl Healthcare
Issue Date: 30-Apr-2017
Citation: Bailey S, Checkland K, Hodgson D, McBride A, Elvey R, Parkin S, Rothwell K & Pierides D (2017) The policy work of piloting: Mobilising and managing conflict and ambiguity in the English NHS, Social Science and Medicine, 179, pp. 210-217.
Abstract: In spite of their widespread use in policy making in the UK and elsewhere, there is a relatively sparse literature specifically devoted to policy pilots. Recent research on policy piloting has focused on the role of pilots in making policy work in accordance with national agendas. Taking this as a point of departure, the present paper develops the notion of pilots doing policy work. It does this by situating piloting within established theories of policy formulation and implementation, and illustrating using an empirical case. Our case is drawn from a qualitative policy ethnography of a local government pilot programme aiming to extend access to healthcare services. Our case explores the collective entrepreneurship of regional policy makers together with local pilot volunteers. We argue that pilots work to mobilise and manage the ambiguity and conflict associated with particular policy goals, and in their structure and design, shape action towards particular outcomes. We conclude with a discussion of the generative but managed role which piloting affords to local implementers. © 2017 The Authors
DOI Link: 10.1016/j.socscimed.2017.02.002
Rights: © 2017 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (
Notes: cited By 0

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