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Explaining geographical variations in the contracting out of NHS hospital ancillary services: a contextual approach

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  • N Goodwin
  • S Pinch

Abstract

A survey of the contracting out of hospital ancillary services within health districts in the National Health Service, in England and Wales over the period 1985 to 1991, reveals a number of patterns including a north - south divide and a rural - urban split. However, apparently similar districts reveal widely differing experiences of contracting out. Detailed case studies of contracting out in two such districts are used to demonstrate the value of a contextually sensitive approach in understanding this diversity of outcomes. Within each district there is a complex evolution of policy involving interactions between numerous actors and their distinctive local contexts that serve to form differing organisational cultures.

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Bibliographic Info

Article provided by Pion Ltd, London in its journal Environment and Planning A.

Volume (Year): 27 (1995)
Issue (Month): 9 (September)
Pages: 1397-1418

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Handle: RePEc:pio:envira:v:27:y:1995:i:9:p:1397-1418

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Web page: http://www.pion.co.uk

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Cited by:
  1. Philip Pinch & Alan Patterson, 2000. "Public Sector Restructuring and Regional Development: The Impact of Compulsory Competitive Tendering in the UK," Regional Studies, Taylor & Francis Journals, vol. 34(3), pages 265-275.

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