Since the beginning of the 1990s the public healthcare system in England has been subject
to reforms. This has resulted in a structurally hybrid system of public service with elements of …

This article traces the use of managed competition policy to transform the NHS from an
administered public service to a set of interlocking markets and contracts. It reviews the …

Objective The Health and Social Care Act 2012 ('HSCA 2012') introduced a new, statutory,
form of regulation of competition into the National Health Service (NHS), while at the same …

This article examines the impact of the Health and Social Care Act 2012 on the regulation of
competition in the English National Health Service (NHS), by focussing on the change it …

This paper reports findings from an ethnographic study that explored how market-based
policies were implemented in one local health economy in England. We identified a number …

Today, policy analysts and regulatory governance scholars are sceptical about the capacity
of the regulatory state hypothesis to describe change at the institutional level. For many, the …

This article presents qualitative and survey evidence on the implementation of managed
competition in the NHS. After outlining the economic analysis of quasi‐markets made by Le …

The authors describe the incremental approach to the marketisation of the English National
Health Service (NHS) since the introduction of an 'internal market'in 1990 until the 2010 …

Since devolution, the four countries of the United Kingdom have pursued strikingly different
National Health Service (NHS) reforms. While England created a supply-side market more …

General Managers (GMs) represent a relatively new cadre in the British National Health
Service (NHS) who have become closely aligned with central government policy in recent …