Public contracts as accountability mechanisms: assuring quality in public health care in England and Wales

Allen, Pauline, Hughes, David, Vincent-Jones, Peter, Petsoulas, Christina, Doheny, Shane ORCID: https://orcid.org/0000-0003-0529-7301 and Roberts, Jennifer A. 2016. Public contracts as accountability mechanisms: assuring quality in public health care in England and Wales. Public Management Review 18 (1) , pp. 20-39. 10.1080/14719037.2014.957341

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Abstract

Contracting in the public sector is designed to enhance the accountability of service providers to their funders. The idea is that quality is improved by the use of service specifications, monitoring of performance and imposition of contractual sanctions. Socio-legal and economic theories of contract indicate that it will be difficult to make and enforce contracts to achieve this. The results of a study of National Health Services contracting in England and Wales are reported. We conclude that contracts alone are not sufficient to improve accountability – collibration of various regulatory measures (including more hierarchical mechanisms such as performance targets) is required.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Geography and Planning (GEOPL)
Subjects:	R Medicine > R Medicine (General)
Uncontrolled Keywords:	Contracts; Accountability; Health care; Markets
Publisher:	Taylor & Francis
ISSN:	1471-9037
Last Modified:	21 Oct 2022 07:44
URI:	https://orca.cardiff.ac.uk/id/eprint/100617

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