Perspectives on practice and the interpretation of personalisation by healthcare professionals working within the NHS in England

Spalding, Liam James (2019). Perspectives on practice and the interpretation of personalisation by healthcare professionals working within the NHS in England. University of Birmingham. Ph.D.

Preview

Spalding2019PhD.pdf
Text - Accepted Version
Available under License All rights reserved.
Download (1MB) | Preview

Abstract

This study examined perspectives on practice and the interpretation of personalisation by healthcare professionals working within the NHS in England. It revealed that notions of responsiveness to individuals and increased voice and choice were fundamental to the majority interpretation of personalisation, as was the assumption that personalisation improves outcomes for patients. Yet, there was a lack of agreement regarding the expected roles and responsibilities of, and resultant relationship between, patients and professionals, with voice and choice posing alternative approaches to responsiveness. Critically, these interpretations were compatible with the shallow version of personalisation, wherein patients are seen as dependent on professionals and the state. Deeper interpretations of personalisation as co-production and self-organisation were not evident. The study established that time pressures, standardised resources and financial constraints were perceived as major issues confronting responsiveness and there was a common perception that demands were increasing whilst supplies were decreasing. These public service gaps were problematic in themselves but they has also resulted in a number of role conflicts, which were also derivation of the various accountabilities impacting on practice. Nonetheless, participants were inclined to strongly identify with personalisation on the basis that, in their views, it would improve outcomes for patients.

Type of Work:

Thesis (Doctorates > Ph.D.)

Award Type:

Doctorates > Ph.D.

Supervisor(s):