A Larger Role for the Private Sector in Financing UK Health Care: the Arguments and the Evidence

2001 ◽  
Vol 30 (4) ◽  
pp. 685-704 ◽  
Author(s):  
CAROL PROPPER ◽  
KATHERINE GREEN

This article examines whether an extension of private finance would improve either the efficiency or the equity of the UK health care system. A number of arguments for increasing the role of private finance that focus on the impact of private finance on the efficiency of the public sector are examined in conjunction with empirical evidence from a number of OECD countries. The conclusion is that the case for some extension of private finance is finely balanced. There is little evidence to show that increasing private finance would improve the efficiency of the NHS. On the other hand, the evidence suggests that it is unlikely that increasing private finance at the margin will alter the support for the NHS, and thus willingness of individuals to pay taxes for public care. In addition, if private finance is supplementary, increased finance will be progressive in terms of payments for health care.

2015 ◽  
Vol 15 (4) ◽  
pp. 589-605 ◽  
Author(s):  
Carlo J. Morelli ◽  
Paul T. Seaman

This article examines the theoretical underpinning of living wage campaigns. The article uses evidence, derived from the UK Quarterly Labour Force Survey from 2005 to 2008, to examine the extent to which a living wage will address low pay within the labour force. We highlight the greater incidence of low pay within the private sector and then focus upon the public sector where the living wage demand has had most impact. The article builds upon the results from the Quarterly Labour Force Survey with analysis of the British Household Panel Survey in 2007 in order to examine the impact that the introduction of a living wage, within the public sector, would have in reducing household inequality.


2018 ◽  
Vol 57 (2) ◽  
pp. 296-319 ◽  
Author(s):  
Melanie Jones ◽  
Gerry Makepeace ◽  
Victoria Wass

2015 ◽  
Vol 22 (2) ◽  
pp. 219-227
Author(s):  
Kwabena Frimpong

Purpose – This article aims to focus on the impact of the current austerity measures on UK public sector anti-fraud and financial crime investigative resource capacity building initiative developed over the years to tackle fraud against the public purse. Design/methodology/approach – The article draws on secondary sources of data and available literature on fraud and financial crime. Findings – Fraud is a challenge in the UK public sector but the cut-back on anti-fraud and financial crime investigative resources, given the scale of public sector fraud, the growing emphasis on accountability and the time of austerity with public money more exposed to fraud is arguably a back-door/u-turn policy on zero-tolerance approach in tackling public sector fraud and financial crime. There is the potential of this encouraging more fraud and financial crime against the public sector in the long term if measures are not taken to devise strategies for enhancing anti-fraud and financial crime investigative resource capacity. Research limitations/implications – The research implication for this article is that it opens an avenue for future studies to examine post austerity strategies for strengthening public sector anti-fraud and financial crime investigative resource strategies to deal with emerging fraud threats to UK public sector. Practical implications – This article acts as a reference guide for policymakers to reflect on the long-term adverse impact of the austerity on anti-fraud and financial crime investigative resource capacity and capability in tackling fraud public sector fraud. Originality/value – The paper attempts to present an alternative lens to examining the scale of UK public sector fraud problem rather than relying on headline story of declining fraud in UK.


Author(s):  
Ian Cummins ◽  
Emilio José Gómez-Ciriano

AbstractThis paper presents a comparative analysis of two reports by the UN Rapporteur on Extreme Poverty and Human Rights, one for Spain and one for the UK. In both countries, austerity policies were introduced following the banking crisis of 2008. The UN Rapporteur reports highlight the damage that was done by welfare retrenchment. In particular, the reports document the impact of austerity on the most vulnerable individuals and communities. The paper uses Somers' (2008) conceptual model of citizenship as the basis for a comparative analysis of two reports. Somers' (2008) model of citizenship is a triadic one which sees the state, market and civil society as competing elements. Each one can serve to regulate and limit the influence or excesses of the other two. Somers argues that neoliberalism has seen the dominance of the market at the expense of the role of the state and the institutions of civil society. Austerity policies saw the market dominating. Having examined the context of the two reports and their conclusions, the paper discussed the implications for individual social workers’ practice and the role of social work as a profession in tackling poverty and marginalisation.


ARCTIC ◽  
1965 ◽  
Vol 18 (1) ◽  
pp. 2 ◽  
Author(s):  
George W. Rogers

Notes that the dominance of the public sector, in particular the Federal Government, and the abnormally low role of private business, in the economy of Alaska, are factors which minimize effects of loss and speed reconstruction. In the short term, the economy was stimulated by the disaster, but continued dependence on Federal support is viewed as economically undesirable.


Author(s):  
Mark Elliott ◽  
Jason Varuhas

This chapter examines the role of the ombudsmen in the administrative justice system. It first traces the origins of the ‘public sector ombudsmen’, including the Parliamentary Ombudsman, in the UK. It then considers the need for and the functions of the ombudsmen, along with the place of the ombudsmen in a changing administrative landscape. It also discusses bodies and matters subject to investigation by the Ombudsman based on the Parliamentary Commissioner Act 1967, including ‘maladministration’, and the Ombudsman's discretion to investigate. Finally, the chapter reviews the conduct and consequences of the Ombudsman's investigations, paying attention to judicial review of the ombudsmen's conclusions, and institutional matters pertaining to the ombudsman system.


2015 ◽  
Vol 28 (6) ◽  
pp. 494-508 ◽  
Author(s):  
Tommaso Agasisti ◽  
Giuseppe Catalano ◽  
Ferdinando Di Carlo ◽  
Angelo Erbacci

Purpose – The purpose of this paper is to examine the impact of full accrual accounting on the Italian public universities and, in this context, how some technical-accounting problems typical of public sector (recognition and valuation issues) have been addressed. An additional purpose investigated in this paper is the role of International Public Sector Accounting Standards (IPSASs) in helping to overcome these technical-accounting issues, for the case under examination. Design/methodology/approach – The paper involves studying whether, and to what degree, some of the accounting choices made by the universities complied with the principles of full accrual accounting for several specific accounting registrations characterised by the presence of recognition and valuation issues. During this investigation, the paper also analyses whether the universities followed the accounting rules set out by the IPSAS Board. Findings – The findings highlight that, in general, there is a low degree of compliance with full accrual accounting principles and they also revealed that IPSASs do not provide any detailed guidelines that can help universities in overcoming the recognition and valuation problems typical of the public sector. Originality/value – The analysis presented in the paper confirms the findings of previous literature identifying a low level of compliance to full accrual accounting principles. This research shed light also on the longstanding debate about the role of IPSASs in promoting full accrual accounting in the public sector, revealing the scarce contribution of IPSASs to this process.


Linguaculture ◽  
2012 ◽  
Vol 2012 (2) ◽  
pp. 31-39
Author(s):  
Brooke Townsley

Abstract This article will examine the validity of existing assessment procedures in the UK and compare and contrast these models with other possible assessment and accreditation models. It will also examine the possibilities for quality assessment (QA) procedures offered by the use of digital technologies. Implicit in this descriptive and analytical process will be an examination of the linkages between these models of assessment and the opportunity for professional registration. Issues addressed in this article will be: the status quo in the assessment and registration of interpreters and translators for the public sector in the UK; the impact of new social, political and economic realities on the existing assessment and registration regime; the opportunities and/or threats to quality norms represented by online digital technologies. The material will be of particular interest to: end users of interpreter and translator services in the public sector; interpreting and translation test developers and QA procedure designers; interpreting and translating practitioners, in-service and aspiring


2017 ◽  
Vol 2 (3) ◽  
pp. 41
Author(s):  
Ali Cheshmehzangi ◽  
Tim Heath

This research focuses upon the socio-environmental dimensions and urban identity of urban environments by evaluating human behaviours and space-to-human relations. In addition, approaches to urban re-branding will be analysed to evaluate the role of engineered identities in enhancing social integration. This particular study will focus upon the installation of temporary activities into the public realm and the impact that these can have upon perception, identity and activity within public spaces. A case study of temporary markets taking place in Nottingham’s Old Market Square in the UK will be evaluated to explore possibilities of maximising the potential of urban space. Keywords: human behaviour, urban identity, spatial inter-relation, socio-environmental © 2017. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.


PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_3) ◽  
pp. 732-734
Author(s):  
Margaret Lynch

The Issue. This article focuses on the work of the Royal College of Paediatrics and Child Health (RCPCH) related to advocacy and the efforts of the RCPCH to influence the planning and provision of children’s services. This should be considered in the context of the current UK government agenda. As the RCPCH agrees with the aims of this agenda, the challenge becomes how to influence the process of achieving them. In 1999 in a document, “Our Healthier Nation,” the UK government clearly stated that it is committed to improving the health of the population, reducing inequalities, reducing social exclusion, and improving access and quality of health care while increasing responsiveness to local needs. This commitment of the UK government is important to children, as among the 11 to 12 million children in the country, there are 300 000 to 400 000 children in need, including 53 000 children who are in public care (usually placed in foster care), where the state has direct responsibility to ensure that they receive appropriate health care. These are children who may need support from social services or child care services in addition to health services. There also are 32 000 children on our child protection registers. Overall, approximately 4 million of our 11 million children are considered vulnerable for one reason or another.


Sign in / Sign up

Export Citation Format

Share Document