Heading for health policy reform: How ‘the region’ is made into a governance object 

by Oemar van der Woerd, Jitse Schuurmans, Iris Wallenburg, Wilma van der Scheer and Roland Bal 


In an attempt to deal with societal issues like changing demographics and the sustainability of welfare state regimes, policymakers increasingly seek solutions to organise care closer to citizens’ homes, in close cooperation between health and social care providers and informal caregivers. ‘The region’ is presented as a promising place to organise and provide a networked model of care (see for instance the Integrated Care Boards in the UK, or caring regions in Scandinavian countries). Yet, the region, as a new entity of governance, must be incorporated into existing governance arrangements. Our central research question in our recent article published in Policy & Politics addressed this issue: How is the region made into a ‘governance object’? 

In exploring how the region is made a governance object, we draw on years of (ongoing) research on older person care and care for disabled people in the Netherlands, where we follow regional experiments, such as task reallocation between professionals (see here for more information). We analyse the work of professionals, managers and policymakers in their attempts to shape ‘the region’. 

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Analysing boundaries of health and social care in policy and media reform narratives: the epic and tragic narratives of policy reform.

Duijn Bannink NiesSarah van Duijn, Duco Bannink & Henk Nies

When we wrote this blog, Ukraine had not yet been invaded by Russia. However, it would feel inappropriate to us to publish this blog without acknowledging it. We are aware that we are no experts in the field of geopolitics or international relations. However, we cannot help but remark that the strategies we found in our article have become amplified in the rhetoric that surrounds the war in Ukraine. Indeed, the epic-tragic mechanism is part and parcel of democratic processes – as we show in our article – but it is also a part of incomparably worse phenomena such as (threats of) war. Continue reading

The media and public accountability: mirror or spark?

Thomas Schillemans & Sandra Jacobs
Thomas Schillemans & Sandra Jacobs

by Thomas Schillemans and Sandra Jacobs

Europe currently faces the biggest refugee crisis since the Second World War. Many European states are confronted with large numbers of migrants in need of immediate care, food and shelter. Responsible public agencies, such as the UK’s Visas and Immigration (UKVI) and the Central Agency for the Reception of Asylum Seekers (COA) in the Netherlands, face exceptionally complex challenges. A challenge that is aggravated by the fact that they are constantly criticized in the media and by politicians when things go wrong.

In our Policy & Politics article entitled Media and public accountability: typology and exploration, we explore the ways in which mass media are involved in public accountability processes by looking at examples of public sector organisations in the Netherlands and elsewhere.

In the Netherlands, for instance, COA was blamed for concocting unpleasant surprises for local governments when the organization decided to immediately direct large numbers of asylum seekers to their municipalities. A Dutch mayor called the situation ‘chaotic’: “The COA lost control of the temporary housing of refugees”, he said. COA was held accountable and had to explain its behaviour to politicians and Continue reading

Latest issue of Policy & Politics now available: 43.1

43-1Policy & Politics, Volume 43, issue 1, is now available in print and online. David Sweeting introduces the issue.

The latest issue of Policy & Politics showcases some of the most creative and innovative work that is going on in the field, covering a variety of topics. As ever, the contributions combine theoretical insight with empirical analysis, and offer a wide geographical spread. The issue also contains our first ‘research provocation’ piece.

The opening article, authored by co-editor Matthew Flinders and Katharine Dommett, draws on Chris Hood’s original piece in the 1980 volume of the journal to critique the coalition government’s policy on the reform of state architecture. They conclude that rather than a simple case of abolition, the approach Continue reading