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Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales

Pauline Allen, David Hughes, Peter Vincent-Jones, Christina Petsoulas, Shane Doheny, Jennifer A. Roberts

Public Management Review, Volume: 18, Issue: 1, Pages: 20 - 39

Swansea University Author: David Hughes

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DOI (Published version): 10.1080/14719037.2014.957341

Abstract

Public sector contracts are designed to strengthen the accountability of service providers to their funders. It is claimed that quality is improved by the use of mechanisms such as service specifications, monitoring of performance and imposition of contractual sanctions. However, socio-legal and eco...

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Published in: Public Management Review
ISSN: 1471-9037 1471-9045
Published: 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa18523
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first_indexed 2014-09-25T01:56:58Z
last_indexed 2020-10-16T02:28:05Z
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spelling 2020-10-15T14:21:13.4711690 v2 18523 2014-09-24 Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales f1fbd458e3c75d8b597c0ac8036f2b88 David Hughes David Hughes true false 2014-09-24 FGMHL Public sector contracts are designed to strengthen the accountability of service providers to their funders. It is claimed that quality is improved by the use of mechanisms such as service specifications, monitoring of performance and imposition of contractual sanctions. However, socio-legal and economic theories of contracting suggest that it will be difficult to write and enforce contracts to achieve this. This paper reports the results of a study of National Health Services contracting in England and Wales that suggests that contracts in themselves will not improve accountability – collibration of overlapping modes of regulation, including hierarchical governance via performance targets, is required. Journal Article Public Management Review 18 1 20 39 1471-9037 1471-9045 NHS contracts, accountability, England, Wales 1 1 2016 2016-01-01 10.1080/14719037.2014.957341 Based on SDO project. COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2020-10-15T14:21:13.4711690 2014-09-24T22:23:02.5926870 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Pauline Allen 1 David Hughes 2 Peter Vincent-Jones 3 Christina Petsoulas 4 Shane Doheny 5 Jennifer A. Roberts 6 0018523-11052017133840.pdf DHPMRf-inal.pdf 2017-05-11T13:38:40.4670000 Output 452339 application/pdf Accepted Manuscript true true eng
title Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales
spellingShingle Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales
David Hughes
title_short Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales
title_full Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales
title_fullStr Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales
title_full_unstemmed Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales
title_sort Public Contracts as Accountability Mechanisms: Assuring quality in public health care in England and Wales
author_id_str_mv f1fbd458e3c75d8b597c0ac8036f2b88
author_id_fullname_str_mv f1fbd458e3c75d8b597c0ac8036f2b88_***_David Hughes
author David Hughes
author2 Pauline Allen
David Hughes
Peter Vincent-Jones
Christina Petsoulas
Shane Doheny
Jennifer A. Roberts
format Journal article
container_title Public Management Review
container_volume 18
container_issue 1
container_start_page 20
publishDate 2016
institution Swansea University
issn 1471-9037
1471-9045
doi_str_mv 10.1080/14719037.2014.957341
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Public sector contracts are designed to strengthen the accountability of service providers to their funders. It is claimed that quality is improved by the use of mechanisms such as service specifications, monitoring of performance and imposition of contractual sanctions. However, socio-legal and economic theories of contracting suggest that it will be difficult to write and enforce contracts to achieve this. This paper reports the results of a study of National Health Services contracting in England and Wales that suggests that contracts in themselves will not improve accountability – collibration of overlapping modes of regulation, including hierarchical governance via performance targets, is required.
published_date 2016-01-01T03:21:44Z
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