This paper examines audio-recorded data from meetings in which NHS managers decide whether to fund high-cost drugs for individual patients. It investigates the work of a Welsh individual patient commissioning (IPC) panel responsible for sanctioning the purchase of ’un-commissioned’...

<title>Abstract</title> The figure of the consumer has been central to the UK New Labour government's approach to reforming public services. However, this article is critical of the narrow debate of the Government and its critics around the consumer as chooser. It aims to broaden the debate by drawing...