TY - JOUR
T1 - Commodification and healthcare in the third sector in England: from gift to commodity – and back?
AU - Sheaff, Rod
AU - Ellis-Paine, Angela
AU - Exworthy, Mark
AU - Hardwick, Rebecca
AU - Smith, Chris Q.
PY - 2023/8/15
Y1 - 2023/8/15
N2 - When publicly-funded services are outsourced, governments still use multiple governance structures to retain some control over the services provided. Using realist methods the authors systematically compared this aspect of community health activities provided by third sector organizations in six English localities during 2020–2022. Two modes of commissioning coexisted. Commodified commissioning largely embodied Washington consensus models of formal, competitive procurement. A contrasting, collaborative mode of commissioning relied more upon relational, long-term co-operation and networking among organizations. When the two modes conflicted, commissioners often favoured the collaborative mode and sought to adjust their commissioning to make it less commodified.
AB - When publicly-funded services are outsourced, governments still use multiple governance structures to retain some control over the services provided. Using realist methods the authors systematically compared this aspect of community health activities provided by third sector organizations in six English localities during 2020–2022. Two modes of commissioning coexisted. Commodified commissioning largely embodied Washington consensus models of formal, competitive procurement. A contrasting, collaborative mode of commissioning relied more upon relational, long-term co-operation and networking among organizations. When the two modes conflicted, commissioners often favoured the collaborative mode and sought to adjust their commissioning to make it less commodified.
U2 - 10.1080/09540962.2023.2244350
DO - 10.1080/09540962.2023.2244350
M3 - Article
SN - 1467-9302
VL - 0
JO - Public Money & Management
JF - Public Money & Management
IS - 0
ER -