Bargaining Power

1. Front Matter

   Pages i-xv

   PDF

2. A Tale of Two Countries

   • Verna Smith

   Pages 1-8

3. Analysing Public Policy: Does Kingdon’s Multiple Streams Framework Help?

   • Verna Smith

   Pages 9-20

4. A Comparison of the English and New Zealand General Practice Sub-Systems

   • Verna Smith

   Pages 21-31

5. England: Context and the Quality and Outcomes Framework

   • Verna Smith

   Pages 33-57

6. Utility of Kingdon’s Framework: Policymaking in England

   • Verna Smith

   Pages 59-74

7. New Zealand: Context and the Performance Programme

   • Verna Smith

   Pages 75-109

8. Utility of Kingdon’s Framework: Policymaking in New Zealand

   • Verna Smith

   Pages 111-123

9. The Two Case Studies Compared

   • Verna Smith

   Pages 125-151

10. Conclusion

    • Verna Smith

    Pages 153-155

11. Back Matter

    Pages 157-179

    PDF

This monograph applies Kingdon’s Multiple Streams Framework to two policymaking episodes of implementing pay for performance in general practice, conducted in England and New Zealand. The Framework’s explanatory power for policymaking in Westminster majoritarian jurisdictions is tested and, based on rigorous comparative analysis, recommendations are made for its refinement. 


The monograph also offers striking lessons for policymakers about how to negotiate successfully with general practitioners.  

• Health Policy in England and New Zealand
• John Kingdon’s Multiple Streams Framework (MSF)
• Quality and Outcomes Framework in England
• Performance Programme in New Zealand
• Policymakers in England and New Zealand

“The author has done her job provocatively well.” (Professor Nikolaos Zahariadis, Mertie Buckman Chair and Professor of International Studies, Rhodes College, USA)

“Smith applies Kingdon’s model to two  empirical cases, but goes beyond this in a more comprehensive account which helps explain why the policy processes unfolded in the way they did. Students and scholars of policy making will find much that is of interest in this fascinating and illuminating book.” (Professor Ruth McDonald, University of Manchester, UK)

“In this compelling analysis, Verna Smith has carefully compared processes of health policy reform in England and New Zealand and explores the role played by policy entrepreneurs in agenda change.  This nuanced, enlightening study has generated many insights of both practical and theoretical significance. Health planners, providers and policymakers will all benefit from reading this excellent book.” (Professor Michael Mintrom, Monash University, Australia)

• School of Government, Victoria University of Wellington, School of Government, Wellington, New Zealand

  Verna Smith

Verna Smith is a Senior Lecturer in Public Policy at Victoria University of Wellington, New Zealand and Adjunct Research Fellow of Monash University, Australia. Her academic interests are in comparative health systems analysis, public accountability frameworks and public policymaking in Westminster majoritarian systems.

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