Article published in:Multimodality, Politics and Ideology
Edited by David Machin and Theo van Leeuwen
[Journal of Language and Politics 15:3] 2016
► pp. 288–303
Opening up the NHS to market
Using multimodal critical discourse analysis to examine the ongoing commercialisation of health care
Since its implementation, the British Government’s controversial 2013 Health and Social Care Act has had far-reaching effects on health care provision in England, not least the creation of 212 regional practitioner-led clinical commissioning groups (CCGs) which are now responsible for much of the service provision across the country. Taking as an example the website of one of these new commissioning groups, this study shows that multimodal critical discourse analysis (MCDA) can reveal how health and social care matters are being increasingly framed within a corporate and neoliberal set of ideas, values, identities and social relations. Despite government assurances that the Act preserves the (non-commercial) founding values of the NHS, our MCDA provides textual evidence of the influence of neoliberal and commercial discourses operating across this particular website, which appear to be just as much about promoting an appealing corporate identity as responding to the practical, day-to-day concerns of patients.
Keywords: Clinical commissioning groups, NHS, commercialisation, neoliberalism, privatisation, marketisation, multimodal critical discourse analysis
Published online: 04 August 2016
Brookes, Gavin & Harvey, Kevin
Brown, Brian J. & Baker, Sally
Cannock Chase Clinical Commissioning Group
2012 Communications and Engagement Strategy. URLhttp://www.cannockchaseccg.nhs.uk/news-events/documents/131-x-ccccg-communications-and-engagement-strategy/file (Accessed 8/8/2015).
Davies, Anne C. L.
Department of Health
Fairclough, Norman[ p. 301 ]
Hansen, Anders & Machin, David
Holder, Holly, Robertson, Ruth, Ross, Shilpa, Bennett, Laura, Gosling, Jeni & Curry, Natasha
Kress, Gunther & van Leeuwen, Theo J.
Ledin, Per & Machin, David
van Leeuwen, Theo J.
Machin, David & Mayr, Andrea
Machin, David & Thornborrow, Joanna
Martinec, Radan & van Leeuwen, Theo
Morrish, Liz & Sauntson, Helen
NHS Support Federation
2014 Private firms win 70% of NHS contracts. URL: http://www.nhscampaign.org/news-and-views.html (Accessed 10/08/2015).
Player, Stewart[ p. 302 ]
Pollock, Allyson & Price, David
Pollock, Allyson & Roderick, Peter
Pollock, Allyson, Shaoul, Jean & Vickers Neil
Sauntson, Helen & Morrish, Liz
Swales, John & Rogers, Priscilla
Cited by 7 other publications
Brookes, Gavin, Tony McEnery, Mark McGlashan, Gillian Smith & Mark Wilkinson
Chałupnik, Małgorzata & Gavin Brookes
Harvey, Kevin & Gavin Brookes
This list is based on CrossRef data as of 18 september 2021. Please note that it may not be complete. Sources presented here have been supplied by the respective publishers. Any errors therein should be reported to them.