Hannah is a PhD student in Health and Organisational Research, working across the School of Health and Social Care and Essex Business School, within the University of Essex. Before beginning her PhD, she worked as a Policy and Programme Officer for an employment and skills charity, and as a Research Project Manager within the Health Management Group at Manchester Business School. During her time at Manchester Business School, she worked on an NIHR funded project investigating board leadership changes 5 years on from the Francis Inquiry.
Her PhD project aims to connect integrated health and social care policy discourse with implementation at the level of middle management, frontline health staff, and patients within a case study community based integrated care service. The study explores how contradictions at the policy discourse level around the ability of integrated care to meet wide ranging and diverse issues within the health service, including poor public finances, fragmented and disjointed care, lack of patient decision making, and high demand resulted in problematic implementation effects when efficiency savings had to be privileged over other aims. The consequence was the mobilisation of economic austerity through the intensification of work for some frontline health staff and little change in patient care in relation to the stated aims of integration.
Methodologically, this study integrates realist evaluation with critical discourse analysis to account for the normative and discursive nature of implementation theory, whilst seeking to demonstrate empirically the impact of discursive enactments on actors within the service. Theoretically, it draws on Fairclough and Chouliarakis (1999) dialectical theory of discourse to account for the interaction between discursive, non-discursive and agential mechanisms to produce change.
Chambers, Naomi, Ruth Thorlby, Judith Smith, Nathan Proudlove, Hannah Kendrick, Russell Mannion (2019), Roles and behaviours of diligent and dynamic healthcare boards, Health Services Management Research, 33(2), 96108
Chambers, Naomi, Ruth Thorlby, Alan Boyd, Judith Smith, Nathan Proudlove, Hannah Kendrick, Russell Mannion (2017), Responses to Francis: changes in board leadership and governance in acute hospitals in England since 2013, Final Report: Department of Health: Policy Research Programme.
Chambers, Naomi, Alan Boyd, Hannah Kendrick, Nathan Proudlove, Ruth Thorlby, Judith Smith, Russell Mannion (2016), Board leadership in the wake of Francis: challenges, changes and achievements, Health Service Journal, 10 June 2016.
Integrating realist evaluation and critical discourse analysis: a way forward for critical policy evaluation?, International Association for Critical Realism Annual Conference, University of Southampton (July 2019)
Negotiating Discourses of Integrated Care: the case of technologically enforced boundary blurring, International Critical Management Studies, The Open University (June 2019)
Integrated Care: Reconstructing the Health Professional in an Age of Austerity, Working in Healthcare Conference, Edinburgh Napier University (May 2018)