title: Who do we think we are? Analysing the content and form of identity work in the English National Health Service.
abstract: OBJECTIVE
  The language used by National Health Service (NHS) "commissioning" managers when discussing their roles and responsibilities can be seen as a manifestation of "identity work", defined as a process of identifying. This paper aims to offer a novel approach to analysing "identity work" by triangulation of multiple analytical methods, combining analysis of the content of text with analysis of its form.
  
  
  METHODS
  Fairclough's discourse analytic methodology is used as a framework. Following Fairclough, the authors use analytical methods associated with Halliday's systemic functional linguistics.
  
  
  RESULTS
  While analysis of the content of interviews provides some information about NHS Commissioners' perceptions of their roles and responsibilities, analysis of the form of discourse that they use provides a more detailed and nuanced view. Overall, the authors found that commissioning managers have a higher level of certainty about what commissioning is not rather than what commissioning is; GP managers have a high level of certainty of their identity as a GP rather than as a manager; and both GP managers and non-GP managers oscillate between multiple identities depending on the different situations they are in.
  
  
  CONCLUSIONS
  This paper offers a novel approach to triangulation, based not on the usual comparison of multiple data sources, but rather based on the application of multiple analytical methods to a single source of data. This paper also shows the latent uncertainty about the nature of commissioning enterprise in the English NHS.
authors.affiliation: Health Policy, Politics and Organisation (HiPPO) Research Group, University of Manchester, Manchester, UK. imelda.mcdermott@manchester.ac.uk
authors.forename: Imelda
authors.initials: I
authors.lastname: McDermott
authors.forename: Kath
authors.initials: K
authors.lastname: Checkland
authors.forename: Stephen
authors.initials: S
authors.lastname: Harrison
authors.forename: Stephanie
authors.initials: S
authors.lastname: Snow
authors.forename: Anna
authors.initials: A
authors.lastname: Coleman
mesh_terms: D000288:Administrative Personnel / Q000523:psychology*; D001291:Attitude of Health Personnel; D003142:Communication; D004739:England; D006801:Humans; D007407:Interviews as Topic; D008037:Linguistics; D036301:Qualitative Research; D012649:Self Concept; D012933:Social Identification; D013222:State Medicine / Q000458:organization & administration*