Lack of access to finance is often cited as a key reason for why poor people remain poor. This paper uses data on the Indian rural branch expansion program to provide empirical evidence on this issue. Between 1977 and 1990, the Indian central bank mandated that a commercial bank can open a...

This paper explores whether state provision of school meals in the 1980s crowded out private provision by examining two UK policy reforms that dramatically reduced school meal take-up. The paper examines whether this affected children’s BMI, using a large, unique, longitudinal dataset of...

The aim of this paper is to examine gender related differences in performance at age 16. We investigate a number of possible explanations for the underachievement of boys relative to girls, the so-called ‘gender gap’. We employ a national dataset of the matched exam results of the entire...

The question of what should determine the boundaries between public and private firms in an advanced capitalist economy is a highly topical one. In this paper I discuss some recent theoretical thinking on this issue. I divide the paper into two parts. First, I make some general remarks about the...

New policies in the National Health Service in England seek to extend the choice of provider of care for patients on waiting lists for elective surgery. We try to identify where in the country there are likely to be most constraints on choice for patients waiting over 6 months for elective care....

This paper examines the relationship between performance of English public sector hospitals (NHS trusts) and the quality of their nursing staff. Performance ratings of NHS trusts published in 2001 and 2002 indicate a clear regional divide. This divide is not explained by lower medical need. The...

Using incentive pay to improve public sector efficiency is an important component of the UK Government's public service modernisation agenda. In this paper, we review the important issues in performance pay in the public sector, and summarise the evidence on its effects. We consider how optimal...

Parental choice among schools in England is informed by annually published school performance (league) tables. The 2006 league tables included a measure of contextual value added (CVA) for the first time. By explicitly accounting for the characteristics of a school’s intake, CVA should provide...

The use of choice as a mechanism to improve public service delivery is now well established in the UK. Current policy discourse additionally considers voice as a further, complementary, user-driven mechanism. In this paper I scrutinise the assumption that choice (exit) and voice complement each...

Payer-driven competition has been widely advocated as a means of increasing efficiency in health care markets. The 1990s reforms to the UK health service followed this path. We examine whether competition led to better outcomes for patients, as measured by death rates after treatment following...