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The Evolution of Choice Policies in UK Housing, Education and Health Policy

Published online by Cambridge University Press:  01 January 2009

IAN GREENER
Affiliation:
School of Applied Social Sciences, University of Durham, 32 Old Elvet, Durham DH1 3HN email: ian.greener@durham.ac.uk
MARTIN POWELL
Affiliation:
Health Services Management Centre, University of Birmingham, Park House, 40 Edgbaston Park Road, Birmingham B15 2RT email: m.powell@bham.ac.uk

Abstract

Scholarship in social policy in recent years has examined how policy positions users in a range of roles, particularly most recently in terms of their roles as ‘choosers’ through the increased use of markets in welfare. This article considers how choice policies have positioned users since the creation of the modern welfare state, presenting a history of choice policies, but also a comparative examination of how they have differed in the UK between housing, education and healthcare. It concludes by suggesting that although approaches to choice vary considerably between the three public services examined, policy-makers often appear unaware of these differences, leading to mistaken assumptions that policies can be transferred or transplanted unproblematically.

Type
Article
Copyright
Copyright © Cambridge University Press 2008

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References

6 P. (2003), ‘Giving consumers of British public services more choice: what can be learned from recent history?’, Journal of Social Policy, 32: 2, 239–70.CrossRefGoogle Scholar
Baker, M. (2007), ‘The problem with school “choice”’, BBC News, http://news.bbc.co.uk/1/hi/education/6413811.stm, accessed 15 May 2008.Google Scholar
Barber, M. (2007), Instruction to Deliver: Tony Blair, the Public Services and the Challenge of Achieving Targets, London: Portoco's Publishing.Google Scholar
Chitty, C. (2004), Education Policy in Britain, Basingstoke: Palgrave Macmillan.Google Scholar
Clarke, J. and Newman, J. (1997), The Managerial State, London: Sage.Google Scholar
Clarke, J., Newman, J., Smith, N., Vidler, E. and Westmarland, L. (2007), Creating Citizen-Consumers: Changing Publics and Changing Public Services, London: Paul Chapman Publishing.CrossRefGoogle Scholar
Deacon, A. and Mann, K. (1999), ‘Agency, modernity and social policy’, Journal of Social Policy, 28: 3, 413–35.CrossRefGoogle Scholar
Department for Education (1992), Choice and Diversity: A New Framework for Schools, Cmnd 2021, London: HMSO.Google Scholar
Department for Education and Employment (1996), Self-Government for Schools, London: HMSO.Google Scholar
Department for Education and Employment (1997), Excellence in Schools, London: HMSO.Google Scholar
Department for Education and Skills (1965), The Organisation of Secondary Education (Circular 10/65), London: HMSO.Google Scholar
Department for Education and Skills (1977), Education in Schools: A Consultative Document, London: HMSO.Google Scholar
Department for Education and Skills (1985), Better Schools, Cmnd 9469, London: HMSO.Google Scholar
Department for Education and Skills (2001), Schools – Achieving Success, London: HMSO.Google Scholar
Department for Education and Skills (2005), Higher Standards, Better Schools for All, London: HMSO.Google Scholar
Department of Health and Social Security (1983), NHS Management Inquiry, London: HMSO.Google Scholar
Department of Health (2006), Our Health, Our Care, Our Say, Cmnd 6737, London: HMSO.Google Scholar
Department of the Environment (1971), A Fair Deal for Housing, Cmnd 4728, London: HMSO.Google Scholar
Department of the Environment (1977), Housing Policy – a Consultative Document, Cmnd 6851, London: HMSO.Google Scholar
Department of the Environment (1987), Housing – the Government's Proposals, Cmnd 214, London: HMSO.Google Scholar
Department of the Environment (1995), Our Future Homes: Opportunity, Choice, Responsibility, Cmnd 2901, London: HMSO.Google Scholar
Department of the Environment Transport and the Regions (2000), Quality and Choice: A Decent Home for All, London: HMSO.Google Scholar
Easington Primary Care Trust (2006), Choosing your Hospital, Peterlee: Easington Primary Care Trust.Google Scholar
Fotaki, M., Boyd, A., Smith, L., McDonald, R., Roland, M., Sheaff, R., Edwards, A. and Elwyn, G. (2005), ‘Patient choice and the organization and delivery of health services: scoping review’, London: NCCSDO.Google Scholar
Greener, I. (2002), ‘Agency, social theory and social policy’, Critical Social Policy, 22: 73, 688706.CrossRefGoogle Scholar
Greener, I. (2003), ‘Patient choice in the NHS: the view from economic sociology’, Social Theory and Health, 1: 1, 7289.CrossRefGoogle Scholar
Greener, I. (2004), ‘The three moments of New Labour's health policy discourse’, Policy and Politics, 32: 3, 303–16.CrossRefGoogle Scholar
Greener, I. (2005), ‘The role of the patient in healthcare reform: customer, consumer or creator?’, in Dawson, S. and Sausmann, C. (eds.), Future Health Organisations and Systems, Basingstoke: Palgrave.Google Scholar
Hoggett, P. (2001), ‘Agency, rationality and social policy’, Journal of Social Policy, 30: 1, 3756.CrossRefGoogle Scholar
Jordan, B. (2005), ‘Public services and the service economy: individualism and the choice agenda’, Journal of Social Policy, 35: 1, 143–62.CrossRefGoogle Scholar
Le Grand, J. (1997), ‘Knights, knaves or pawns? Human behaviour and social policy’, Journal of Social Policy, 26: 2, 149–69.CrossRefGoogle Scholar
Le Grand, J. (2003), Motivation, Agency and Public Policy: Of Knights, Knaves, Pawns and Queens, Oxford: Oxford University Press.CrossRefGoogle Scholar
Le Grand, J. (2007), The Other Invisible Hand, Woodstock: Princeton University Press.Google Scholar
Le Grand, J., Mays, N. and Mulligan, J. (1998), Learning from the NHS Internal Market, London: Kings Fund.Google Scholar
McAteer, M. (2005), ‘The government's choice agenda’, Consumer Policy Review, 15: 3, 7984Google Scholar
Minister of Health (1962), A Hospital Plan for England and Wales, Cmd 1604, London: HMSO.Google Scholar
Minister of State for Department of Health, Minister of State for Local and Regional Government and Minister of State for School Standards (2005), The Case for User Choice in Public Services, London: HMSO.Google Scholar
Ministry for Reconstruction (1943), Education Reconstruction, Cmnd 6458, London: HMSO.Google Scholar
Ministry for Reconstruction (1945), Housing, Cmnd 6609, London: HMSO.Google Scholar
Ministry of Education (1958), Secondary Education for All, Cmnd 604, London: HMSO.Google Scholar
Ministry of Health (1944), A National Health Service, London: HMSO.Google Scholar
Ministry of Housing and Local Government (1953), Houses: the Next Step, Cmnd 8996, London: HMSO.Google Scholar
Ministry of Housing and Local Government (1963), Housing, Cmnd 2050, London: HMSO.Google Scholar
Ministry of Housing and Local Government (1965), The Housing Program 1965–1970, Cmnd 2838, London: HMSO.Google Scholar
Muir Gray, J. (1996), Evidence-based Health Care, New York: Churchill Livingstone.Google Scholar
Newman, J. and Vidler, E. (2006), ‘Discriminating customers, responsible patients, empowered users: consumerism and modernisation of health care’, Journal of Social Policy, 35: 2, 193209CrossRefGoogle Scholar
Paige, R. (2007), Revisiting the Welfare State, Maidenhead: Open University Press.Google Scholar
Pemberton, H. (2000), ‘Policy networks and policy learning: UK economic policy in the 1960s and 1970s’, Public Administration, 78: 4, 771–92.CrossRefGoogle Scholar
Secretary of State for Education and Science (1972), Education: A Framework for Expansion, Cmnd 5174, London: HMSO.Google Scholar
Secretary of State for Health and Social Services (1972), The National Health Service Reorganisation: England, London: HMSO.Google Scholar
Secretary of State for Health (1989), Working for Patients, London: HMSO.Google Scholar
Secretary of State for Health (1996), The NHS: A Service with Ambitions, London: HMSO.Google Scholar
Secretary of State for Health (1997), The New NHS: Modern, Dependable, London: HMSO.Google Scholar
Secretary of State for Health (2000), The NHS Plan: A Plan for Investment, A Plan for Reform, London: HMSO.Google Scholar
Stock Options Appraisal Executive Group (2004), Decent Homes for All, Romford: CLS.Google Scholar
Thatcher, M. (1993), The Downing Street Years, London: Harper Collins.Google Scholar
Wainwright, D. (1998), ‘Disenchantment, ambivalence and the precautionary principle: the becalming of British health policy’, International Journal of Health Services, 28: 3, 407–26CrossRefGoogle ScholarPubMed
Webster, C. (1994), ‘Conservatives and consensus: the politics of the National Health Service 1951–64’, in Oakley, A. and Williams, S. (eds.), The Politics of the Welfare State, London: University College Press.Google Scholar
Witness Seminar (2006), Consumerism and Choice in the Conservative Internal Market 1987–1992 (draft transcript), University of London: Institute for Historical Research.Google Scholar