John completed his PhD in the Department of Government at the Centre for Public Policy at the University of Melbourne. John has held post-doctoral appointments at the University of Birmingham in the Department of Public Health and Epidemiology working on area-based regeneration schemes, with a focus on participation, decentralisation and methods and processes for health and environmental impact assessments. He also completed post-doctoral work at the Regulatory Institutions Network in the Research School Social Sciences, Australian National University, on regulation and governance theory. John was a lecturer at the London School of Hygiene and Tropical Medicine in the Department of Public Health and Policy working on the regulation and new governance arrangements of acute English hospitals. From 2010-2017, John was a Senior Research Fellow, then an Associate Professorial Research Fellow, in the Department of Social Policy at the London School of Economics and Political Science in pharmaceutical regulation, European methods and processes for technology assessment, European investment and research in non-Communicable Diseases, and European Public Spending reform.
Can supervise: YES
- Begum, Mursheda, Lewison, Grant, Wright, John S. F., Pallari, Elena and Sullivan, Richard (2016) European non-communicable respiratory disease research, 2002-13: bibliometric study of outputs and funding. PLOS One . ISSN 1932-6203
- Berg Brigham, Karen, Darlington, Meryl, Wright, John S. F., Lewison, Grant, Kanavos, Panos and Durand-Zaleski, Isabelle (2016) Mapping research activity on mental health disorders in Europe: study protocol for the Mapping_NCD project. Health Research Policy and Systems, 14 (1). ISSN 1478-4505
- Barron, Anthony J.G., Klinger, Corinna, Shah, Sara Mehmood and Wright, John S. F. (2015) A regulatory governance perspective on health technology assessment (HTA) in France: the contextual mediation of common functional pressures. Health Policy, 119 (2). pp. 137-146. ISSN 0168-8510
- Wright, John S. F., Barron, Anthony J. G., Shah, Sara M.B. and Klinger, Corinna (2015) Convergence, divergence and hybridity: a regulatory governance perspective on health technology assessment (HTA) in England and Germany. Global Policy. pp. 1-16. ISSN 1758-5880
- Wright, John S. F. (2015) The pathway out of neoliberalism and the analysis of political ideology in the post-crisis world. Journal of Political Ideologies, 20 (2). pp. 109-133. ISSN 1356-9317
- Wright, John S. F., Dempster, Paul G., Keen, Justin, Allen, Pauline and Hutchings, Andrew (2014) How should we evaluate the impacts of policy?: the case of Payment by Results and the 18 Week Patient Pathway in English hospitals. Policy Studies, 35 (1). pp. 59-78. ISSN 0144-2872
- Shah, Sara Mehmood, Barron, Anthony, Klinger, Corinna and Wright, John (2014) A regulatory governance perspective on Health Technology Assessment (HTA) in Sweden. Health Policy, 116 (1). pp. 27-36. ISSN 0168-8510
- Klingler, Corinna, Shah, Sara M.B., Barron, Anthony J.G. and Wright, John S. F. (2013) Regulatory space and the contextual mediation of common functional pressures: analyzing the factors that led to the German efficiency frontier approach. Health Policy, 109 (3). pp. 270-280. ISSN 0168-8510
- Dempster, Paul G., Woods, David K. and Wright, John (2013) Using CAQDAS in the analysis of foundation trust hospitals in the National Health Service: mustard seed searches as an aid to analytic efficiency. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 14 (2). ISSN 1438-5627
Wright, JSF, Barron, AJG, Shah, SMB & Klingler, C 2017, 'Convergence, Divergence and Hybridity: A Regulatory Governance Perspective on Health Technology Assessment in England and Germany', Global Policy, vol. 8, pp. 69-75.View/Download from: UTS OPUS or Publisher's site
© 2017 University of Durham and John Wiley & Sons, Ltd Countries adopt different methods and processes to evaluate the benefits and costs of health technologies. It is important to identify and analyse the factors that influence the uptake and use of these methods and processes across countries. In this article, we introduce a regulatory governance approach to the analysis of convergence, divergence and hybridity in Health Technology Assessment (HTA) methods, discussing and critically analysing national processes for HTA in two major EU member states: England and Germany. We argue that any reasonably sophisticated account of national approaches to HTA must recognise that globalisation and the emergence of advanced industrial society involves the potential for widely varying processes, methods and evidential requirements. We suggest that this potential also confronts health policy analysts with the challenge of constructing analytical frameworks capable of identifying the diverse institutional, domestic and other factors that shape national approaches to HTA.
Begum, M, Lewison, G, Wright, JSF, Pallari, E & Sullivan, R 2016, 'European Non-Communicable Respiratory Disease Research, 2002-13: Bibliometric Study of Outputs and Funding', PLoS ONE, vol. 11, no. 4, pp. 1-15.View/Download from: UTS OPUS or Publisher's site
This study was conducted in order to map European research in chronic respiratory diseases (CRDs). It was intended to assist the European Commission and other research funders to identify gaps and overlaps in their portfolios, and to suggest ways in which they could improve the effectiveness of their support and increase the impact of the research on patient care and on the reduction of the incidence of the CRDs. Articles and reviews were identified in the Web of Science on research in six non-communicable respiratory diseases that were published in 2002–13 from 31 European countries. They represented only 0.8% of biomedical research output but these diseases accounted for 4.7% of the European disease burden, as measured by Disability-Adjusted Life Years (DALYs), so the sub-field is seriously under-researched. Europe is prominent in the sub-field and published 56% of the world total, with the UK the most productive and publishing more than France and Italy, the next two countries, combined. Asthma and Chronic Obstructive Pulmonary Disease (COPD) were the diseases with the most publications and the highest citation rates. They also received the most funding, with around two acknowledgments per paper (in 2009–13), whereas cystic fibrosis and emphysema averaged only one. Just over 37% of papers had no specific funding and depended on institutional support from universities and hospitals.
Berg Brigham, K, Darlington, M, Wright, JSF, Lewison, G, Kanavos, P, Durand-Zaleski, I & Mapping_NCD consortium 2016, 'Mapping research activity on mental health disorders in Europe: study protocol for the Mapping_NCD project', Health Research Policy and Systems, vol. 14, no. 39, pp. 1-7.View/Download from: UTS OPUS or Publisher's site
Background: Mental health disorders (MHDs) constitute a large and growing disease burden in Europe, although
they typically receive less attention and research funding than other non-communicable diseases (NCDs). This study
protocol describes a methodology for the mapping of MHD research in Europe as part of Mapping_NCD, a 2-year
project funded by the European Commission which seeks to map European research funding and impact for five
NCDs in order to identify potential gaps, overlaps, synergies and opportunities, and to develop evidence-based
policies for future research.
Methods: The project aims to develop a multi-focal view of the MHD research landscape across the 28 European
Union Member States, plus Iceland, Norway and Switzerland, through a survey of European funding entities, analysis
of research initiatives undertaken in the public, voluntary/not-for-profit and commercial sectors, and expert interviews
to contextualize the gathered data. The impact of MHD research will be explored using bibliometric analyses
of scientific publications, clinical guidelines and newspaper stories reporting on research initiatives. Finally,
these research inputs and outputs will be considered in light of various metrics that have been proposed to
inform priorities for the allocation of research funds, including burden of disease, treatment gaps and cost of
Discussion: Given the growing burden of MHDs, a clear and broad view of the current state of MHD research is
needed to ensure that limited resources are directed to evidence-based priority areas. MHDs pose a particular challenge
in mapping the research landscape due to their complex nature, high co-morbidity and varying diagnostic criteria.
Undertaking such an effort across 31 countries is further challenged by differences in data collection, healthcare systems,
reimbursement rates and clinical practices, as well as cultural and socioeconomic diversity. Using multiple methods to
explore the spectrum of MHD researc...
Wright, JSF 2015, 'The pathway out of neoliberalism and the analysis of political ideology in the post-crisis world', JOURNAL OF POLITICAL IDEOLOGIES, vol. 20, no. 2, pp. 109-133.View/Download from: UTS OPUS or Publisher's site
Barron, AJG, Klinger, C, Shah, SMB & Wright, JSF 2015, 'A regulatory governance perspective on health technology assessment (HTA) in France: The contextual mediation of common functional pressures', HEALTH POLICY, vol. 119, no. 2, pp. 137-146.View/Download from: UTS OPUS or Publisher's site
Shah, SMB, Barron, A, Klinger, C & Wright, JSF 2014, 'A regulatory governance perspective on Health Technology Assessment (HTA) in Sweden', HEALTH POLICY, vol. 116, no. 1, pp. 27-36.View/Download from: UTS OPUS or Publisher's site
Wright, JSF, Dempster, PG, Keen, J, Allen, P & Hutchings, A 2014, 'How should we evaluate the impacts of policy? The case of Payment by Results and the 18 Week Patient Pathway in English hospitals', Policy Studies, vol. 35, no. 1, pp. 59-78.View/Download from: UTS OPUS or Publisher's site
Today, qualitative researchers are framing the relationship between qualitative case studies and quantitative evaluation research in positivist terms, seeking dialogue with quantitative researchers on the basis that qualitative case studies hold the potential to develop theory for evaluation programmes and to improve the quality of quantitative research. In the UK health policy literature, however, recent evaluations of major government programmes of reform have been conducted under largely quantitative and econometric strategies involving baskets of indicators, or routinely collected hospital statistics, set against the central stated aims of the programme: namely, to improve quality, efficiency, responsiveness, output and equity. For the wider evaluation literature, we detail the results of a qualitative case study of the impact of two key reforms, the 18 Week Patient Pathway and Payment by Results, on four English hospitals, demonstrating the value of the positivist frame to evaluation research based on its capacity to improve understandings of cause and effect and to direct quantitative researchers towards better measures and data sets. For the UK health policy literature, we demonstrate the value of qualitative case studies to the policy process in terms of their potential to reduce the risks for serious policy mistakes. © 2014 © 2014 Taylor & Francis.
Klingler, C, Shah, SMB, Barron, AJG & Wright, JSF 2013, 'Regulatory space and the contextual mediation of common functional pressures: Analyzing the factors that led to the German Efficiency Frontier approach', HEALTH POLICY, vol. 109, no. 3, pp. 270-280.View/Download from: UTS OPUS or Publisher's site
Klingler, C, Shah, SMB, Barron, AJG & Wright, JSF 2013, 'Factors that led to the implementation of the efficiency frontier approach to health economic evaluation in Germany: Let's talk more about the elephant', Health Policy, vol. 112, no. 3, pp. 299-300.View/Download from: UTS OPUS or Publisher's site
Dempster, PG, Woods, D & Wright, JSF 2013, 'Using CAQDAS in the analysis of foundation trust hospitals in the national health service: Mustard seed searches as an aid to analytic efficiency', Forum Qualitative Sozialforschung, vol. 14, no. 2.View/Download from: UTS OPUS
This article reflects on the development of Computer Assisted Qualitative Data Analysis Software (CAQDAS) briefly before describing how the software can be harnessed to aid the process of research. It shows how data from a multi-user project looking at governance in UK Foundation Trust hospitals was enhanced and made clearer through the application of a specific method of gathering and coding data using a qualitative data analysis software package: Applying searches based on word frequency counts within NVivo 8 provided an initial categorisation of topics in an efficient manner allowing for a targeted examination of the overall data. This technique has been called by us the Mustard seed approach as it starts small and builds into something bigger over time. © 2013 FQS.
Allen, P, Keen, J, Wright, J, Dempster, P, Townsend, J, Hutchings, A, Street, A & Verzulli, R 2012, 'Investigating the governance of autonomous public hospitals in England: multi-site case study of NHS foundation trusts', JOURNAL OF HEALTH SERVICES RESEARCH & POLICY, vol. 17, no. 2, pp. 94-100.View/Download from: UTS OPUS or Publisher's site
Wright, JSF, Dempster, PG, Keen, J, Allen, P & Hutchings, A 2012, 'THE NEW GOVERNANCE ARRANGEMENTS FOR NHS FOUNDATION TRUST HOSPITALS: REFRAMING GOVERNORS ASMETA-REGULATORS', PUBLIC ADMINISTRATION, vol. 90, no. 2, pp. 351-369.View/Download from: UTS OPUS or Publisher's site
Allen, P, Townsend, J, Dempster, P, Wright, J, Hutchings, A & Keen, J 2012, 'Organizational Form as a Mechanism to Involve Staff, Public and Users in Public Services: A Study of the Governance of NHS Foundation Trusts', SOCIAL POLICY & ADMINISTRATION, vol. 46, no. 3, pp. 239-257.View/Download from: UTS OPUS or Publisher's site
Wright, JSF 2011, 'Regulatory Capitalism and the UK Labour Government's Reregulation of Commissioning in the English National Health Service', LAW & POLICY, vol. 33, no. 1, pp. 27-59.View/Download from: UTS OPUS or Publisher's site
Theories and frameworks for regulation of particular industries or types of behavior have grown in richness in recent years. This article identifies three perspectives within contemporary regulatory theory: "normative," "descriptive," and "poststructuralist" perspectives. We ask whether contemporary models of regulatory governance arrangements adequately capture and explain the characteristics and operation of existing regulatory spaces. We outline three key models linked to these perspectives (responsive regulation, smart regulation, and nodal governance) and discuss their relevance with specific reference to one complex case study, the gambling industry in a federal polity, Australia, where the regulatory arrangements are quite diverse. We argue that regulatory theory needs to remain flexible if it is to inform an understanding of concrete regulatory challenges, thereby assisting analysts and practitioners to assess current and potential approaches for improved regulatory governance arrangements. Accordingly, we build a case for considering a learning perspective on regulation and governance theory linked to pragmatism. © Journal compilation © 2009 Baldy Center for Law and Social Policy.
Wright, JSF 2009, 'The regulatory state and the UK Labour Government's re-regulation of provision in the English National Health Service', Regulation and Governance, vol. 3, no. 4, pp. 334-359.View/Download from: Publisher's site
Following its election in 1997, the UK Labour Government embarked upon a 10 year program of reform of the National Health Service (NHS). By 2005, Labour had doubled the NHS budget and dramatically transformed the shape of the Service. In England, a basic characteristic of the NHS is the organizational split between provider and commissioning agencies. In this article I argue that Labour's re-regulation of NHS provision is a coherent representation of the influence of the " regulatory state" in restructuring arrangements between government, market, and society. The article offers an account of the regulatory state based on a discussion of five key theses: The Audit Society, Regulation Inside Government, The New Regulatory State, The British Regulatory State, and Regulatory Capitalism. The article unfolds Labour's program of reform across themes common to these accounts: the division of labor between state and society, the division of labor within the state, the formalization of previously informal controls, and the development of meta-regulatory techniques of enforced self-regulation. It concludes that the key themes of the regulatory state are at work in Labour's transformation of NHS provision and it offers a discussion of the implications for both scholars of regulation and the UK and European health policy literature. © 2009 The Author. Journal compilation © 2009 Blackwell Publishing Asia Pty Ltd.
McMillen, J & Wright, JSF 2008, 'Re-regulating the gambling industry: Regulatory reform in Victoria and New South Wales, 1999-2006', Australian Journal of Political Science, vol. 43, no. 2, pp. 277-300.View/Download from: Publisher's site
Historically, in Australia, gambling policy and regulation have been the sole responsibility of Australian State and Territory governments. However, in 1998-99 the Commonwealth commissioned an unprecedented national inquiry into gambling that was highly critical of existing gambling policies and regulatory regimes. The Productivity Commission proposed a 'blueprint' for an effective, independent gambling regulatory system. Seven years on, this article revisits Australian gambling regulation to present a contextualised account of regulatory reform in Victoria and New South Wales (NSW). It finds that that they have taken a markedly different approach to structural reform. Neither State has adopted the Productivity Commission's 'ideal' regulatory model. Reforms have been shaped by local circumstances and government priorities, rather than the regulatory principles and functions outlined by the Productivity Commission. © 2008 Australasian Political Studies Association.
Wright, JSF, Parry, J & Mathers, J 2007, ''What to do about political context?' Evidence synthesis, the New Deal for Communities and the possibilities for evidence-based policy', Evidence and Policy, vol. 3, no. 2, pp. 253-269.View/Download from: Publisher's site
If policy is the sum of interactions between agents and organisations about an appropriate course of action, then political context refers to the structural, organisational and ideological aspects of the environment relevant to those interactions. Crucially, political context may modify how 'evidence' is used by policy makers. In this article, we use a case study - the New Deal for Communities regeneration programme - to explore further the influence of political context on the use of evidence by policy makers.We conclude that over time, the political landscape within which the initiative is implemented becomes increasingly important in determining the use of evidence. © The Policy Press.
Wright, JSF, Parry, J, Mathers, J, Jones, S & Orford, J 2006, 'Assessing the participatory potential of Britain's new deal for communities:', Policy Studies, vol. 27, no. 4, pp. 347-361.View/Download from: Publisher's site
Community participation is a key characteristic of the British Labour Government's New Deal for Communities (NDC). However, the National Evaluation reports serious difficulties involving local communities in the programme. This article assesses the NDC's potential as a site for bottom-up community participation by reviewing government policy guidance, programme notes and strategy documents. We identify themes and mechanisms within the programme that facilitate and limit participation. It is argued that if NDC is a community-led programme, it is community-led in the sense that government decides how the community will be involved, why they will be involved, what they will do and how they will do it. © 2006 Taylor & Francis.
Wright, J, Parry, J & Scully, E 2005, 'Institutionalizing policy-level health impact assessment in Europe: Is coupling health impact assessment with strategic environmental assessment the next step forward?', Bulletin of the World Health Organization, vol. 83, no. 6, pp. 472-477.
European Union (EU) Member States are interested in using health impact assessment (HIA) as a means of safeguarding their obligations to protect human health under the 1997 Treaty of Amsterdam. However, several have encountered difficulties institutionalizing HIA with the policy-making process. As a consequence, the World Health Organization (WHO) Regional Office for Europe has suggested coupling HIA with strategic environmental assessment (SEA). Traditionally, the incorporation of HIA into other forms of impact assessment has been resisted, for fear of losing its focus on health issues to environmental concerns, and compromising its social model of health with the introduction of biophysical indicators. But can these fears be substantiated? In this paper, we investigate the grounds for such concerns by reviewing the relevant policy documents and departmental guidelines of four non-European countries that have considered the use of integrated assessment. We found that the case for associating HIA with SEA in Europe is strong, and offers potential solutions to problems of screening, theoretical framework, causal pathways and ready entry to the policy process. Coupling HIA with SEA may thus be the next step forward in a longer journey towards institutionalizing HIA as an independent policy-linked device.
Wright, J, Parry, J & Mathers, J 2005, 'Participation in health impact assessment: Objectives, methods and core values', Bulletin of the World Health Organization, vol. 83, no. 1, pp. 58-63.
Health impact assessment (HIA) is a multidisciplinary aid to decision-making that assesses the impact of policy on public health and on health inequalities. Its purpose is to assist decision-makers to maximize health gains and to reduce inequalities. The 1999 Gothenburg Consensus Paper (GCP) provides researchers with a rationale for establishing community participation as a core value of HIA. According to the GCP, participation in HIA empowers people within the decision-making process and redresses the democratic deficit between government and society. Participation in HIA generates a sense that health and decision-making is community-owned, and the personal experiences of citizens become integral to the formulation of policy. However, the participatory and empowering dimensions of HIA may prove difficult to operationalize. In this review of the participation strategies adopted in key applications of HIA in the United Kingdom, we found that HIA's aim of influencing decision-making creates tension between its participatory and knowledge-gathering dimensions. Accordingly, researchers have decreased the participatory dimension of HIA by reducing the importance attached to the community's experience of empowerment, ownership and democracy, while enlarging its knowledge-gathering dimension by giving pre-eminence to "expert" and "research-generated" evidence. Recent applications of HIA offer a serviceable rationale for participation as a means of information gathering and it is no longer tenable to uphold HIA as a means of empowering communities and advancing the aims of participatory democracy.
Parry, J & Wright, J 2003, 'Community participation in health impact assessments: Intuitively appealing but practically difficult', Bulletin of the World Health Organization, vol. 81, no. 6, p. 388.