MEMBERSHIP OF THE ‘NEW STYLE’ HEALTH AUTHORITIES: CONTINUITY OR CHANGE?

The 1989 White Paper 'Working for Patients' continued the process begun by Griffiths of managerial reform and the introduction of private sector concepts into the NHS. One of the new proposals was to change the composition and constitution of health authorities, both to avoid the assumed weaknesses of the existing format and to emulate the pattern found in the private sector.
The essence of the change was the removal of the representational elements on authorities, both of medical professionals and nominees from the local authority. The health authorities were reduced in size to just eleven members and for the first time executives were included. Previous attempts at reform within the NHS have been judged to have resulted in more continuity than change. This article examines in detail who the new members are and assesses the balance between continuity and change.
Despite a high level of continuity of membership, there are signs of more fundamental change. There is a significant increase in the proportion of non-executive members from the private sector and with the inclusion of executives, a stronger managerial role is emerging. The article concludes by assessing what the implications of these changes maybe.     

The Rise of the Novice Cabinet Minister? The Career Trajectories of Cabinet Ministers in British Government from Attlee to Cameron

Some commentators have observed that today's Cabinet ministers are younger and less experienced than their predecessors. To test this claim, we analyse the data for Labour and Conservative appointments to Cabinet since 1945. Although we find some evidence of a decline in average age and prior experience, it is less pronounced than for the party leaders. We then examine the data for junior ministerial appointments, which reveals that there is no trend towards youth and inexperience present lower down the hierarchy. Taking these findings together, we propose that public profile is correlated with ‘noviceness’; that is, the more prominent the role, the younger and less experienced its incumbent is likely to be. If this is correct, then the claim that we are witnessing the rise of the novice Cabinet minister is more a consequence of the personalisation of politics than evidence of an emerging ‘cult of youth’.     

PERSONALITY THEORY AND JUDGING: A Proposed Theory of Self-Esteem and Judicial Policy-Making

Although a variety of explanatory models have been used in recent years to explain and describe individual and aggregate judicial policy-making, little attention has been devoted to how a judge's personality may affect his or her policy choices on the bench. In fact, psychological models are important for understanding twentieth-century jurisprudence as well as for conceptualizing the conditions under which an individual decision maker will exercise policy-making discretion. This article uses a theory of self-esteem to propose how a judge's personality configuration is related to those role orientations affecting decisional outcomes. The authors also discuss how differential levels of self-esteem may affect a judge's sentencing policy.     

TENANT PARTICIPATION AND TENANT POWER IN BRITISH COUNCIL HOUSING

In this article we examine the relationship between tenant participation and tenants' power. This is done by adopting an approach to power put forward by Clegg (1989) and using it to examine the findings of a study of tenant Participation based on a national survey of local authorities and detailed case studies in six local authorities in Britain. The key question addressed is whether tenant participation empowers tenants. The conclusion is that power is a very complex phenomenon which defies simple definition and analysis. Nevertheless some factors are identified, an awareness of which aids analysis of tenant participation and helps those involved both to make sense of it and to focus their attention on the factors which could determine their ability to achieve their objectives.     

The North African Background: IV. PUBLIC LIFE

This concludes the series of extracts from a longer work onthe Barbary States, especially Tunis, by the writer, a surgeonthen serving in the Army.     

The French North African Background

This represents the first of a series of extracts from a longerstudy written by the author when stationed in North Africa asa surgeon in the Army. Although he claims no detailed knowledgeof Islam, Mr. Atkins starts with religion because he considersit isthe major factor in the present situation. In succeedingissues we hope to print further notes on the economic background.private life (mainly women), and public life (mainly men).     

MEASURING PROTECTIVE HANDGUN OWNERSHIP*

Hill et al. (1985) have suggested a measure of protective handgun ownership that can be implemented in an omnibus survey like the General Social Survey (GSS), which does not ask respondents why they own the gun. Using the 1980 GSS and their refined measure, Hill et al. report (among other things) that fear of crime and prior victimization increase the likelihood that men, but not women, will own handguns for protection. Their analysis, however, is Jawed because (1) they made errors in their analysis and (2) their measure of protective handgun ownership is biased. This paper explains why the measure is biased and shows how the measure alters parameter estimates.     

The North African Background: III. PRIVATE LIFE

This continues our series of extracts from a longer study bya surgeon in the British Army, stationed in North Africa duringthe war.