IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v250y2020ics0277953620301076.html
   My bibliography  Save this article

Agreeing the allocation of scarce resources in the English NHS: Ostrom, common pool resources and the role of the state

Author

Listed:
  • Sanderson, Marie
  • Allen, Pauline
  • Moran, Valerie
  • McDermott, Imelda
  • Osipovic, Dorota

Abstract

A challenge facing health systems such as the English National Health Service (NHS), which operate in a context of diversity of provision and scarcity of financial resources, is how organisations engaged in the provision of services can be encouraged to adopt collective resource utilisation strategies to ensure limited resources are utilised in the interests of service users and, in the case of tax funded services, the general public. In this paper the authors apply Elinor Ostrom's work concerning communities' self-governance of common pool resources to the development of collective approaches to the utilisation of resources for the provision of health services. Focusing on the establishment of Sustainability and Transformation Partnerships (STPs) in the English NHS, and drawing on interviews with senior managers in English NHS purchaser and provider organisations, we use Ostrom's work as a frame to analyse STPs, as vehicles to agree and enact shared rules governing the allocation of financial resources, and the role of the state in relation to the development of this collective governance. While there was an unwillingness to use STPs to agree collective rules for resource allocation, we found that local actors were discussing and agreeing collective approaches regarding how resources should be utilised to deliver health services in order to make best use of scarce resources. State influence on the development of collective approaches to resource allocation through the STP was viewed by some as coercive, but also provided a necessary function to ensure accountability. Our analysis suggests Ostrom's notion of resource ‘appropriation’ should be extended to capture the nuances of resource utilisation in complex production chains, such as those involved in the delivery of health services where the extraction of funds is not an end in itself, but where the value of resources depends on how they are utilised.

Suggested Citation

  • Sanderson, Marie & Allen, Pauline & Moran, Valerie & McDermott, Imelda & Osipovic, Dorota, 2020. "Agreeing the allocation of scarce resources in the English NHS: Ostrom, common pool resources and the role of the state," Social Science & Medicine, Elsevier, vol. 250(C).
    • Handle: RePEc:eee:socmed:v:250:y:2020:i:c:s0277953620301076
    DOI: 10.1016/j.socscimed.2020.112888
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953620301076
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2020.112888?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Pennington, Mark, 2013. "Elinor Ostrom and the robust political economy of common-pool resources," Journal of Institutional Economics, Cambridge University Press, vol. 9(4), pages 449-468, December.
    2. Elinor Ostrom, 2010. "Beyond Markets and States: Polycentric Governance of Complex Economic Systems," American Economic Review, American Economic Association, vol. 100(3), pages 641-672, June.
    3. Amrita Chhachhi & Tim Forsyth & Craig Johnson, 2014. "Elinor Ostrom's Legacy: Governing the Commons and the Rational Choice Controversy," Development and Change, International Institute of Social Studies, vol. 45(5), pages 1093-1110, September.
    4. Doris Wiesmann & Johannes Jütting, 2000. "The emerging movement of community based health insurance in sub-Saharan Africa: Experiences and lessons learned," Africa Spectrum, Institute of African Affairs, GIGA German Institute of Global and Area Studies, Hamburg, vol. 35(2), pages 193-210.
    5. Hammond, Jonathan & Lorne, Colin & Coleman, Anna & Allen, Pauline & Mays, Nicholas & Dam, Rinita & Mason, Thomas & Checkland, Kath, 2017. "The spatial politics of place and health policy: Exploring Sustainability and Transformation Plans in the English NHS," Social Science & Medicine, Elsevier, vol. 190(C), pages 217-226.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. David Bruce Matchar & Wei Xuan Lai & Ashish Kumar & John Pastor Ansah & Yeuk Fan Ng, 2023. "A Causal View of the Role and Potential Limitations of Capitation in Promoting Whole Health System Performance," IJERPH, MDPI, vol. 20(5), pages 1-13, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hartwell, Christopher A. & Otrachshenko, Vladimir & Popova, Olga, 2021. "Waxing power, waning pollution: The effect of COVID-19 on Russian environmental policymaking," Ecological Economics, Elsevier, vol. 184(C).
    2. Bustamante, Pedro & Gomez, Marcela & Murtazashvili, Ilia & Weiss, Martin, 2020. "Spectrum anarchy: why self-governance of the radio spectrum works better than we think," Journal of Institutional Economics, Cambridge University Press, vol. 16(6), pages 863-882, December.
    3. Jennifer H. Allen & David E. Ervin & George B. Frisvold & James T. Brosnan & James D. McCurdy & Rebecca G. Bowling & Aaron J. Patton & Matthew T. Elmore & Travis W. Gannon & Lambert B. McCarty & Patri, 2022. "Herbicide-Resistance in Turf Systems: Insights and Options for Managing Complexity," Sustainability, MDPI, vol. 14(20), pages 1-17, October.
    4. Lin, Wanlin & Lin, George C.S., 2023. "Strategizing actors and agents in the functioning of informal property Rights: The tragicomedy of the extralegal housing market in China," World Development, Elsevier, vol. 161(C).
    5. Kashwan, Prakash & MacLean, Lauren M. & García-López, Gustavo A., 2019. "Rethinking power and institutions in the shadows of neoliberalism," World Development, Elsevier, vol. 120(C), pages 133-146.
    6. Harris,Colin & Cai,Meina & Murtazashvili,Ilia & Murtazashvili,Jennifer Brick, 2020. "The Origins and Consequences of Property Rights," Cambridge Books, Cambridge University Press, number 9781108969055, November.
    7. Skarbek, Emily C., 2016. "Aid, ethics, and the Samaritan's dilemma: strategic courage in constitutional entrepreneurship," Journal of Institutional Economics, Cambridge University Press, vol. 12(2), pages 371-393, June.
    8. McCloskey Deirdre Nansen, 2018. "The Two Movements in Economic Thought, 1700–2000: Empty Economic Boxes Revisited," Man and the Economy, De Gruyter, vol. 5(2), pages 1-20, December.
    9. Arts, Bas & de Koning, Jessica, 2017. "Community Forest Management: An Assessment and Explanation of its Performance Through QCA," World Development, Elsevier, vol. 96(C), pages 315-325.
    10. Andy Gouldson & Rory Sullivan, 2014. "Understanding the Governance of Corporations: An Examination of the Factors Shaping UK Supermarket Strategies on Climate Change," Environment and Planning A, , vol. 46(12), pages 2972-2990, December.
    11. David Klenert & Franziska Funke & Linus Mattauch & Brian O’Callaghan, 2020. "Five Lessons from COVID-19 for Advancing Climate Change Mitigation," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 76(4), pages 751-778, August.
    12. Thomas Vendryes, 2014. "Peasants Against Private Property Rights: A Review Of The Literature," Journal of Economic Surveys, Wiley Blackwell, vol. 28(5), pages 971-995, December.
    13. Michael Peneder & Spyros Arvanitis & Christian Rammer & Tobias Stucki & Martin Wörter, 2022. "Policy instruments and self-reported impacts of the adoption of energy saving technologies in the DACH region," Empirica, Springer;Austrian Institute for Economic Research;Austrian Economic Association, vol. 49(2), pages 369-404, May.
    14. Meyer, Camille, 2020. "The commons: A model for understanding collective action and entrepreneurship in communities," Journal of Business Venturing, Elsevier, vol. 35(5).
    15. Sophie King & Peter Kasaija, 2018. "State-movement partnership in Uganda: Co-producing an enabling environment for urban poverty reduction?," Global Development Institute Working Paper Series esid-098-18, GDI, The University of Manchester.
    16. Snower, Dennis J., 2019. "Toward global paradigm change: Beyond the crisis of the liberal world order," Economics - The Open-Access, Open-Assessment E-Journal (2007-2020), Kiel Institute for the World Economy (IfW Kiel), vol. 13, pages 1-19.
    17. Nomfundo Sibiya & Mikateko Sithole & Lindelani Mudau & Mulala Danny Simatele, 2022. "Empowering the Voiceless: Securing the Participation of Marginalised Groups in Climate Change Governance in South Africa," Sustainability, MDPI, vol. 14(12), pages 1-20, June.
    18. William J. Luther, 2021. "Behavioral and Policy Responses to COVID-19: Evidence from Google Mobility Data on State- Level Stay-at-Home Orders," Journal of Private Enterprise, The Association of Private Enterprise Education, vol. 36(Fall 2021), pages 67-89.
    19. Silvia Scaramuzzi & Sara Gabellini & Giovanni Belletti & Andrea Marescotti, 2021. "Agrobiodiversity-Oriented Food Systems between Public Policies and Private Action: A Socio-Ecological Model for Sustainable Territorial Development," Sustainability, MDPI, vol. 13(21), pages 1-32, November.
    20. Sovacool, Benjamin K. & Martiskainen, Mari, 2020. "Hot transformations: Governing rapid and deep household heating transitions in China, Denmark, Finland and the United Kingdom," Energy Policy, Elsevier, vol. 139(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:250:y:2020:i:c:s0277953620301076. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.