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The regulatory state and the UK Labour Government's re‐regulation of provision in the English National Health Service

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  • John S. F. Wright

Abstract

Following its election in 1997, the UK Labour Government embarked upon a 10 year program of reform of the National Health Service (NHS). By 2005, Labour had doubled the NHS budget and dramatically transformed the shape of the Service. In England, a basic characteristic of the NHS is the organizational split between provider and commissioning agencies. In this article I argue that Labour's re‐regulation of NHS provision is a coherent representation of the influence of the “regulatory state” in restructuring arrangements between government, market, and society. The article offers an account of the regulatory state based on a discussion of five key theses: The Audit Society, Regulation Inside Government, The New Regulatory State, The British Regulatory State, and Regulatory Capitalism. The article unfolds Labour's program of reform across themes common to these accounts: the division of labor between state and society, the division of labor within the state, the formalization of previously informal controls, and the development of meta‐regulatory techniques of enforced self‐regulation. It concludes that the key themes of the regulatory state are at work in Labour's transformation of NHS provision and it offers a discussion of the implications for both scholars of regulation and the UK and European health policy literature.

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  • John S. F. Wright, 2009. "The regulatory state and the UK Labour Government's re‐regulation of provision in the English National Health Service," Regulation & Governance, John Wiley & Sons, vol. 3(4), pages 334-359, December.
    • Handle: RePEc:wly:reggov:v:3:y:2009:i:4:p:334-359
    DOI: 10.1111/j.1748-5991.2009.01065.x
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    1. Moran, Michael, 2002. "Review Article: Understanding the Regulatory State," British Journal of Political Science, Cambridge University Press, vol. 32(2), pages 391-413, April.
    2. Elkin, Stephen L., 1986. "Regulation and Regime: A Comparative Analysis," Journal of Public Policy, Cambridge University Press, vol. 6(1), pages 49-71, January.
    3. Hood, Christopher & Rothstein, Henry & Baldwin, Robert, 2004. "The Government of Risk: Understanding Risk Regulation Regimes," OUP Catalogue, Oxford University Press, number 9780199270019.
    4. Le Grand, Julian, 2003. "Motivation, Agency, and Public Policy: Of Knights and Knaves, Pawns and Queens," OUP Catalogue, Oxford University Press, number 9780199266999.
    5. Allen, Pauline, 2006. "New localism in the English National Health Service: What is it for?," Health Policy, Elsevier, vol. 79(2-3), pages 244-252, December.
    6. Braithwaite,John & Drahos,Peter, 2000. "Global Business Regulation," Cambridge Books, Cambridge University Press, number 9780521784993, September.
    7. David Hunter, 2003. "Foundation Hospitals: Back to the Future," Public Money & Management, Taylor & Francis Journals, vol. 23(4), pages 211-213, October.
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