“Attending to Collaboration” in Major System Change in Healthcare in England: A Response; Comment on “‘Attending to History’ in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration”

Abstract

In this short article we comment upon the recent article by Perry et al “Attending to History” in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration. We welcome the engagement with power, history and heuristics in the Perry et al paper. Our article discusses the importance of researcher positionality in Major System Change research, alongside managerial power and the centrality of politics to remaking health and care services. Additionally, we highlight the work of Ansell and Gash focused on ‘collaborative governance’ and its potential to offer insight in relation to Major System Change.

Keywords

• major system change
• healthcare reconfiguration
• regional reforms
• collaborative governance