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Introducing Choice in the Public Services: Some Supply-Side Issues

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Listed:
  • Ewan Ferlie
  • George Freeman
  • Juliet McDonnell
  • Christina Petsoulas
  • Sara Rundle-Smith

Abstract

Choice has re-emerged as a key theme in UK public policy. Drawing on a major empirical study of choice in NHS London, the authors report on some important policy implications. First, NHS as well as private sector providers responded to pro choice incentives. Second, the supply-side response was patchy and narrow, based on pre-existing ideas. Third, a case study of a private sector provider suggested that it was able to generate extra capacity quickly and effectively. Fourth, clinicians highlighted the threat to continuity of care, particularly in the case of chronic or complex conditions, rather than simple or elective surgery.

Suggested Citation

  • Ewan Ferlie & George Freeman & Juliet McDonnell & Christina Petsoulas & Sara Rundle-Smith, 2006. "Introducing Choice in the Public Services: Some Supply-Side Issues," Public Money & Management, Taylor & Francis Journals, vol. 26(1), pages 63-72, January.
  • Handle: RePEc:taf:pubmmg:v:26:y:2006:i:1:p:63-72
    DOI: 10.1111/j.1467-9302.2005.00502.x
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    References listed on IDEAS

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    1. Paul Joyce, 2004. "The Role of Leadership in the Turnaround of a Local Authority," Public Money & Management, Taylor & Francis Journals, vol. 24(4), pages 235-242, August.
    2. Dave Turner & Chris Skelcher & Philip Whiteman & Michael Hughes & Pauline Jas, 2004. "Intervention or Persuasion? Strategies for Turnaround of Poorly-Performing Councils," Public Money & Management, Taylor & Francis Journals, vol. 24(4), pages 217-226, August.
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