Although politicians are desperate for innovation, few are brave enough to talk about how difficult it is to shift people away from predictable patterns of behaving and from conforming cultures. There is a tendency in national government to think radical and act conservative. The Labour...

The post‐1990 health reforms in health and social care have resulted in quasi‐markets, centralized funding and an acceptance of top‐down managerialism.The analysis of contracting within the public sector has focused on the extent to which the market has affected equity, access and choice...