1988 volume 20(1) pages 7 – 23

Cite as:
Mohan J, 1988, "Spatial aspects of health-care employment in Britain: 1. Aggregate trends" Environment and Planning A 20(1) 7 – 23

Download citation data in RIS format

Spatial aspects of health-care employment in Britain: 1. Aggregate trends

J Mohan

Received 1 July 1986; in revised form 19 March 1987

Abstract. In this paper I review aggregate spatial trends in employment in health care. This is a neglected area in the study of employment change. Although much attention has been given recently to the producer services sector, in numerical terms the health-care sector is a major employer and, locally, can provide a substantial proportion of jobs within individual labour markets. I first consider regional trends in health-care employment over time, and then disaggregate these, where possible, by grade of staff. The contribution of health care to total employment is then examined for standard regions and also for travel-to-work-areas (TTWAs). Possible interpretations of these changes are then discussed. Four interrelated factors are implicated: the impact of the public expenditure policies of successive governments; the effect of policies designed to redistribute resources in the NHS; local decisions on the siting and closing of NHS hospitals; and the impact of private sector growth in health care.

Restricted material:

PDF Full-text PDF size: 2262 Kb

Your computer (IP address: has not been recognised as being on a network authorised to view the full text or references of this article. This content is part of our deep back archive. If you are a member of a university library that has a subscription to the journal, please contact your serials librarian (subscriptions information).