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Creeping Privatisation? Examining Procurement Choices in the ‘New’ NHS in England

Calovski, Vid and Calnan, Michael .W. (2020) Creeping Privatisation? Examining Procurement Choices in the ‘New’ NHS in England. In: Collyer, Fran and Willis, Karen, eds. Navigating Private and Public Healthcare: Experiences of Patients, Doctors and Policy-Makers. Palgrave Macmillan, Basingstoke, UK, pp. 131-154. ISBN 978-981-3292-07-9. (doi:10.1007/978-981-32-9208-6_7) (KAR id:79329)

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This chapter focuses on the introduction and implementation of the Health and Social Care Act (2012) in England which reignited the debate about the extent to which the government funded National Health Service (NHS) in England is being privatised and/or marketised. It analyses past health service policy developments as they relate to the role of the private health sector, providing a broad sociological and policy context for the most recent legislation and considering the extent to which these represent a radical shift or an incremental policy change. The chapter draws on an ethnographic study of decision-making by the newly created Clinical Commissioning Groups about the extent to which privatisation is taking place. The central argument is that while there has been a considerable change in the commissioning apparatus, private providers have not yet made inroads into the NHS. The chapter concludes by discussing the possible long-term implications of the legislation, considering the extent to which it may have indirectly, rather than directly, encouraged a drift towards privatisation.

Item Type: Book section
DOI/Identification number: 10.1007/978-981-32-9208-6_7
Uncontrolled keywords: NHS Privatisation
Subjects: H Social Sciences
H Social Sciences > HM Sociology
H Social Sciences > HN Social history and conditions. Social problems. Social reform
H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research
Depositing User: Michael Calnan
Date Deposited: 19 Dec 2019 13:23 UTC
Last Modified: 30 Nov 2021 00:00 UTC
Resource URI: (The current URI for this page, for reference purposes)
Calnan, Michael .W.:
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