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The policy work of piloting: Mobilising and managing conflict and ambiguity in the English NHS

Lookup NU author(s): Dr Dean PieridesORCiD

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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.

Publication metadata

Author(s): Bailey S, Checkland K, Hodgson D, McBride A, Elvey R, Parkin S, Rothwell K, Pierides D

Publication type: Article

Publication status: Published

Journal: Social Science and Medicine

Year: 2017

Volume: 179

Pages: 210-217

Print publication date: 30/04/2017

Online publication date: 03/02/2017

Acceptance date: 01/02/2017

Date deposited: 13/12/2021

ISSN (print): 0277-9536

Publisher: Elsevier

URL: https://doi.org/10.1016/j.socscimed.2017.02.002

DOI: 10.1016/j.socscimed.2017.02.002

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