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Explaining Geographical Variations in the Contracting out of NHS Hospital Ancillary Services: A Contextual Approach

Author

Listed:
  • N Goodwin

    (King's Fund Policy Institute, 11-13 Cavendish Square, London W1M 0AN, England)

  • S Pinch

    (Department of Geography, University of Southampton, Southampton SO17 1BJ, England)

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.

Suggested Citation

  • N Goodwin & S Pinch, 1995. "Explaining Geographical Variations in the Contracting out of NHS Hospital Ancillary Services: A Contextual Approach," Environment and Planning A, , vol. 27(9), pages 1397-1418, September.
    • Handle: RePEc:sae:envira:v:27:y:1995:i:9:p:1397-1418
    DOI: 10.1068/a271397
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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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