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Medical workforce education and training: A failed decentralisation attempt to reform organisation, financing, and planning in England

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  • Ovseiko, Pavel V.
  • Buchan, Alastair M.

Abstract

The 2010–2015 Conservative and Liberal Democrat coalition government proposed introducing a radical decentralisation reform of the organisation, financing, and planning of medical workforce education and training in England. However, following public deliberation and parliamentary scrutiny of the government's proposals, it had to abandon and alter its original proposals to the extent that they failed to achieve their original decentralisation objectives. This failed decentralisation attempt provides important lessons about the policy process and content of both workforce governance and health system reforms in Europe and beyond. The organisation, financing, and planning of medical workforce education is as an issue of national importance and should remain in the stewardship of the national government. Future reform efforts seeking to enhance the skills of the workforce needed to deliver high-quality care for patients in the 21st century will have a greater chance of succeeding if they are clearly articulated through engagement with stakeholders, and focus on the delivery of undergraduate and postgraduate multi-professional education and training in universities and teaching hospitals.

Suggested Citation

  • Ovseiko, Pavel V. & Buchan, Alastair M., 2015. "Medical workforce education and training: A failed decentralisation attempt to reform organisation, financing, and planning in England," Health Policy, Elsevier, vol. 119(12), pages 1545-1549.
    • Handle: RePEc:eee:hepoli:v:119:y:2015:i:12:p:1545-1549
    DOI: 10.1016/j.healthpol.2015.09.005
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    References listed on IDEAS

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    1. Kuhlmann, Ellen & Larsen, Christa, 2015. "Why we need multi-level health workforce governance: Case studies from nursing and medicine in Germany," Health Policy, Elsevier, vol. 119(12), pages 1636-1644.
    2. Kuhlmann, Ellen & Batenburg, Ronald & Groenewegen, Peter P. & Larsen, Christa, 2013. "Bringing a European perspective to the health human resources debate: A scoping study," Health Policy, Elsevier, vol. 110(1), pages 6-13.
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    Cited by:

    1. Youness Frichi & Fouad Jawab & Said Boutahari, 2019. "The Mixed-Method 5W2D Approach for Health System Stakeholders Analysis in Quality of Care: An Application to the Moroccan Context," IJERPH, MDPI, vol. 16(16), pages 1-25, August.

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