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

N Goodwin and S Pinch
Additional contact information
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

Environment and Planning A, 1995, vol. 27, issue 9, 1397-1418

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.

Date: 1995
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://journals.sagepub.com/doi/10.1068/a271397 (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:sae:envira:v:27:y:1995:i:9:p:1397-1418

DOI: 10.1068/a271397

Access Statistics for this article

More articles in Environment and Planning A
Bibliographic data for series maintained by SAGE Publications ().