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The paper addresses the paradoxical question of why, given two decades of ideological and structural reforms in the public sector, has bureaucracy survived both as a concept and in practice. The findings of research conducted in the British National Health Service suggest that bureaucracy is both useful and durable because it means that governments can rely upon the obedience of bureaucrats. In turn, it is suggested that this obedience is a function of bureaucratic vocation, the protection of professional reputation and a form of instrumental motivation. In conclusion, there is a theoretical discussion about the relevance of using Labour Process Theory to explain how state workers (bureaucrats) have experienced social and cultural adaptation to public sector reforms.
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