Mixed Economy

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Gerald Wistow - One of the best experts on this subject based on the ideXlab platform.

  • Competition in the English Mixed Economy of care
    1996
    Co-Authors: Julien Forder, Martin Knapp, Gerald Wistow
    Abstract:

    The 1990 National Health Service and Community Care Act introduced sweeping changes to health and social welfare services, The reforms to community care were dominated by the introduction of markets for social care, We argue that the new markets cannot be guaranteed to deliver the range of services required to meet community care objectives, When they began to assume their new responsibilities, few key purchasers had a basic understanding of the functioning and imperfections of markets, Consequently, they were poorly equipped to anticipate or ameliorate the sources of market failure that we identify, Like any other relatively ill-informed purchaser, local authorities risk being unable to buy what they want on behalf of their residents and at an appropriate volume, cost and quality, We discuss where and how market imperfections are likely to occur, In this context, we offer an economic framework to help in the shaping and managing of social care markets.

  • Competition in the Mixed Economy of Care
    Journal of Social Policy, 1996
    Co-Authors: Julien Forder, Martin Knapp, Gerald Wistow
    Abstract:

    ABSTRACTThe 1990 National Health Service and Community Care Act introduced sweeping changes to health and social welfare services. The reforms to community care were dominated by the introduction of markets for social care. We argue that the new markets cannot be guaranteed to deliver the range of services required to meet community care objectives. When they began to assume their new responsibilities, few key purchasers had a basic understanding of the functioning and imperfections of markets. Consequently, they were poorly equipped to anticipate or ameliorate the sources of market failure that we identify. Like any other relatively ill-informed purchaser, local authorities risk being unable to buy what they want on behalf of their residents and at an appropriate volume, cost and quality. We discuss where and how market imperfections are likely to occur. In this context, we offer an economic framework to help in the shaping and managing of social care markets.

  • social care in a Mixed Economy
    1994
    Co-Authors: Gerald Wistow, Martin Knapp, Brian Hardy, Caroline Allen
    Abstract:

    Historical and policy context community care - markets and enabling the Mixed Economy in 1991 local response to the legislation and guidance building a Mixed Economy social care is different residential care home transfers.

  • from providing to enabling local authorities and the Mixed Economy of social care
    Public Administration, 1992
    Co-Authors: Gerald Wistow, Martin Knapp, Brian Hardy, Caroline Allen
    Abstract:

    Government policy seeks to introduce competition into the supply of social care through the separation of purchasing and providing responsibilities. A study of 24 local authority social service departments has explored the initial steps taken to prepare for the new enabling role, including the creation of a Mixed Economy of care. Very few were seeking to create a market in social care. Most argued that the inherent nature of social care rendered the introduction of service specifications and price mechanisms neither approriate nor feasible. Many authorities interpreted the enabling role in ways significantly different from that of the government. The study raises questions about the extent of local discretion in a context where the range of values and interests of implementing agencies may differ from those of the centre.

Martin Knapp - One of the best experts on this subject based on the ideXlab platform.

  • The Mixed Economy of psychiatric reprovision
    1997
    Co-Authors: Martin Knapp, Jennifer Beecham, Angela Hallam
    Abstract:

    In Britain today a great many agencies and professions are actively involved in mental health care delivery, funded from a variety of sources. The 1990 NHS and Community Care Act encouraged the Mixed Economy by separating purchasers from providers, and by promoting market forces. Community reprovision for former long-stay hospital residents is no exception: there exists a quite vibrant Mixed Economy of provision, a sometimes complex funding environment, and the growing (if still modest) influence of market forces. This book chapter describes how community care ("reprovision") is organised and delivered for the 750 former long-stay inpatients who moved (permanently, it was expected) to community placements between 1985 and 1993. Their experiences are discussed under three heads: provision, purchasing and regulation.

  • Competition in the English Mixed Economy of care
    1996
    Co-Authors: Julien Forder, Martin Knapp, Gerald Wistow
    Abstract:

    The 1990 National Health Service and Community Care Act introduced sweeping changes to health and social welfare services, The reforms to community care were dominated by the introduction of markets for social care, We argue that the new markets cannot be guaranteed to deliver the range of services required to meet community care objectives, When they began to assume their new responsibilities, few key purchasers had a basic understanding of the functioning and imperfections of markets, Consequently, they were poorly equipped to anticipate or ameliorate the sources of market failure that we identify, Like any other relatively ill-informed purchaser, local authorities risk being unable to buy what they want on behalf of their residents and at an appropriate volume, cost and quality, We discuss where and how market imperfections are likely to occur, In this context, we offer an economic framework to help in the shaping and managing of social care markets.

  • Competition in the Mixed Economy of Care
    Journal of Social Policy, 1996
    Co-Authors: Julien Forder, Martin Knapp, Gerald Wistow
    Abstract:

    ABSTRACTThe 1990 National Health Service and Community Care Act introduced sweeping changes to health and social welfare services. The reforms to community care were dominated by the introduction of markets for social care. We argue that the new markets cannot be guaranteed to deliver the range of services required to meet community care objectives. When they began to assume their new responsibilities, few key purchasers had a basic understanding of the functioning and imperfections of markets. Consequently, they were poorly equipped to anticipate or ameliorate the sources of market failure that we identify. Like any other relatively ill-informed purchaser, local authorities risk being unable to buy what they want on behalf of their residents and at an appropriate volume, cost and quality. We discuss where and how market imperfections are likely to occur. In this context, we offer an economic framework to help in the shaping and managing of social care markets.

  • social care in a Mixed Economy
    1994
    Co-Authors: Gerald Wistow, Martin Knapp, Brian Hardy, Caroline Allen
    Abstract:

    Historical and policy context community care - markets and enabling the Mixed Economy in 1991 local response to the legislation and guidance building a Mixed Economy social care is different residential care home transfers.

  • from providing to enabling local authorities and the Mixed Economy of social care
    Public Administration, 1992
    Co-Authors: Gerald Wistow, Martin Knapp, Brian Hardy, Caroline Allen
    Abstract:

    Government policy seeks to introduce competition into the supply of social care through the separation of purchasing and providing responsibilities. A study of 24 local authority social service departments has explored the initial steps taken to prepare for the new enabling role, including the creation of a Mixed Economy of care. Very few were seeking to create a market in social care. Most argued that the inherent nature of social care rendered the introduction of service specifications and price mechanisms neither approriate nor feasible. Many authorities interpreted the enabling role in ways significantly different from that of the government. The study raises questions about the extent of local discretion in a context where the range of values and interests of implementing agencies may differ from those of the centre.

Victor Nee - One of the best experts on this subject based on the ideXlab platform.

  • organizational dynamics of market transition hybrid forms property rights and Mixed Economy in china
    Administrative Science Quarterly, 1992
    Co-Authors: Victor Nee
    Abstract:

    Victor Nee Cornell University This paper underscores the importance of hybrid forms in the current market transitions in state socialism through an examination of the emergence of marketized firms and cadre-entrepreneurs in China. The paper develops a new-institutionalist analysis of the organizational dynamics that propel market transition in reforming state socialism. Under conditions of partial reform, marketized firms enjoy a transaction cost advantage over alternative governance structures. Changes in the institutional environment stemming from the spread of markets and the changing structure of property rights, however, increasingly favor private firms. Nonetheless, a Mixed Economy characterized by a diversity of organizational forms and a plurality of property rights will be a persistent feature of transitions from state socialism. Analysis of the interaction between government, enterprise, and market forces illustrates how the new-institutionalist perspective is applied to a dynamic model of market transition in China.'

Stephen Greer - One of the best experts on this subject based on the ideXlab platform.

Caroline Allen - One of the best experts on this subject based on the ideXlab platform.

  • social care in a Mixed Economy
    1994
    Co-Authors: Gerald Wistow, Martin Knapp, Brian Hardy, Caroline Allen
    Abstract:

    Historical and policy context community care - markets and enabling the Mixed Economy in 1991 local response to the legislation and guidance building a Mixed Economy social care is different residential care home transfers.

  • from providing to enabling local authorities and the Mixed Economy of social care
    Public Administration, 1992
    Co-Authors: Gerald Wistow, Martin Knapp, Brian Hardy, Caroline Allen
    Abstract:

    Government policy seeks to introduce competition into the supply of social care through the separation of purchasing and providing responsibilities. A study of 24 local authority social service departments has explored the initial steps taken to prepare for the new enabling role, including the creation of a Mixed Economy of care. Very few were seeking to create a market in social care. Most argued that the inherent nature of social care rendered the introduction of service specifications and price mechanisms neither approriate nor feasible. Many authorities interpreted the enabling role in ways significantly different from that of the government. The study raises questions about the extent of local discretion in a context where the range of values and interests of implementing agencies may differ from those of the centre.