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Health and Social Care

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Public Service Accountability

Abstract

This is the second of the four chapters applying the two models to particular sectors. In England, Health and Social Care are two interrelated public services with both the largest budgets and projected rises in future service demand, mostly because of long-term factors outside of their short-term control, such as demographic changes. The Health and Social Care Act 2012 represented the most significant systematic change to the operational environment and institutional architecture of healthcare since the introduction of the welfare state. Since implementation, there have been continual attempts to mitigate its baleful impact on accountability, service delivery, and public assurance. Although the ‘matching parts’ of accountability and transparency should have become clearer in healthcare, we find that it has actually become more opaque.

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References

  • Bevan, G. (2006). Setting Targets for Health Care Performance: Lessons from a Case Study of the English NHS. National Institute Economic Review, 197(1), 67–79.

    Google Scholar 

  • Bevan, G., & Hood, C. (2006). Health Policy: Have Targets Improved Performance in the English NHS? BMJ, 332(February), 419–422.

    Article  Google Scholar 

  • Bovens, M., Schillemans, T., & Goodin, R. E. (2014). Public Accountability. In M. Bovens, R. E. Goodin, & T. Schillemans (Eds.), The Oxford Handbook of Public Accountability (pp. 1–22). Oxford: Oxford University Press.

    Google Scholar 

  • Broadbent, J., Gill, J., & Laughlin, R. (2003). Evaluating the Private Finance Initiative in the National Health Service in the UK. Accounting, Auditing & Accountability Journal, 16(3), 422–445.

    Article  Google Scholar 

  • Burgess, N., & Radnor, Z. (2013). Evaluating Lean in Healthcare. International Journal of Health Care Quality Assurance, 26(3), 220–235.

    Article  Google Scholar 

  • Chang, Lc. (2009). The Impact of Political Interests Upon the Formulation of Performance Measurements: The NHS Star Rating System. Financial Accountability & Management, 25(2), 145–165.

    Article  Google Scholar 

  • Chang, Lc. (2015). Accountability, Rhetoric, and Political Interests: Twists and Turns of NHS Performance Measurements. Financial Accountability & Management, 31(1), 41–68.

    Article  Google Scholar 

  • Conservative Party. (2010). Invitation to Join the Government of Britain: The Conservative Manifesto 2010. London.

    Google Scholar 

  • Ellwood, S., & Garcia-Lacalle, J. (2012). New Development: Local Public Audit—The Changing Landscape. Public Money Manage, 32(5), 389–392.

    Article  Google Scholar 

  • Ellwood, S., & Garcia-Lacalle, J. (2015). The Removal of a Specialist Oversight Body for Local Public Audit: Insights from the Health Service in England. Financial Accountability & Management, 31(2), 219–242.

    Article  Google Scholar 

  • Ferry, L., Eckersley, P., & Zakaria, Z. (2015). Accountability and Transparency in English Local Government: Moving from ‘Matching Parts’ to ‘Awkward Couple’? Financial Accountability & Management, 31(3), 345–361.

    Article  Google Scholar 

  • Ferry, L., & Scarparo, S. (2015). An Era of Governance Through Performance Management–New Labour’s National Health Service from 1997 to 2010. Accounting History Review, 25(3), 219–238.

    Article  Google Scholar 

  • Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry Executive Summary. London: The Stationery Office.

    Google Scholar 

  • Gebreiter, F. (2016). “Comparing the Incomparable”: Hospital Costing and the Art of Medicine in Post-war Britain. The British Accounting Review, 48(2), 257–268.

    Article  Google Scholar 

  • Gebreiter, F., & Ferry, L. (2016). Accounting and the ‘Insoluble’ Problem of Health-Care Costs. European Accounting Review, 25(4), 719–733.

    Article  Google Scholar 

  • Glennon, R., Hodgkinson, I. R., Knowles, J., Radnor, Z., & Bateman, N. (2018). The Aftermath of Modernisation: Examining the Impact of a Change Agenda on Local Government Employees in the UK. Australian Journal of Public Administration (Forthcoming).

    Google Scholar 

  • Ham, C., Baird, B., Gregory, S., Jabbal, J., & Alderwick, H. (2015). The NHS Under the Coalition Government. Part One: NHS Reform. London: The King’s Fund.

    Google Scholar 

  • House of Commons Public Administration Select Committee. (2014). Who’s Accountable? Relationships Between Government and Arm’s-Length Bodies. Retrieved December 1, 2015, from http://www.publications.parliament.uk/pa/cm201415/cmselect/cmpubadm/110/11007.htm.

  • Kennedy, I. (2001). Bristol Royal Infirmary Inquiry; Learning from Bristol: The Report of the Public Inquiry into Children’s Heart Surgery at the Bristol Royal Infirmary 1984–1995. London: The Stationary Office.

    Google Scholar 

  • Lansley, A. (2007). Conservative Party Press Release on NHS (Since Deleted). London: Conservative Party.

    Google Scholar 

  • Murphy, P. (2013). Public Health and Health and Wellbeing Boards: Antecedents, Theory and Development. Perspectives in Public Health, 133(5), 248–253.

    Article  Google Scholar 

  • Nairne, P. (1984). Parliamentary Control and Accountability in Public Participation in Health. In R. Maxwell & N. Weaver (Eds.), Public Participation in Health: Towards a Clearer View (Vol. 14, pp. 33–51). London: The King’s Fund.

    Google Scholar 

  • NAO. (2014). The Financial Sustainability of NHS Bodies. London: National Audit Office.

    Google Scholar 

  • NAO. (2015a). Confirmed Impacts: Helping to Improve Accountability in the Health System. London: National Audit Office.

    Google Scholar 

  • NAO. (2015b). Sustainability and Financial Performance of Acute Hospital Trusts. London: National Audit Office.

    Google Scholar 

  • NAO. (2016). Managing the Supply of NHS Clinical Staff in England. London: National Audit Office.

    Google Scholar 

  • Propper, C., Sutton, M., Whitnall, C., & Windmeijer, F. (2008). Did ‘targets and Terror’ Reduce Waiting Times in England for Hospital Care? The B.E. Journal of Economic Analysis & Policy, 8(2), 1–27.

    Google Scholar 

  • Radnor, Z., Holweg, M., & Waring, J. (2012). Lean in Healthcare: The Unfilled Promise? Social Science and Medicine, 74(3), 364–371.

    Article  Google Scholar 

  • Shaoul, J., Stafford, A., & Stapleton, P. (2011). NHS Capital Investment and PFI: From Central Responsibility to Local Affordability. Financial Accountability & Management, 27(1), 1–17.

    Article  Google Scholar 

  • The King’s Fund. (2013). Health and Wellbeing Boards: One Year On. London.

    Google Scholar 

  • Timmins, N. (2012). Never Again? Or the Story of the 2012 Health and Social Care Act. London: The King’s Fund/Institute for Government.

    Google Scholar 

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Correspondence to Laurence Ferry .

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Ferry, L., Murphy, P., Glennon, R. (2019). Health and Social Care. In: Public Service Accountability. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-93384-9_4

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