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R28 S18 the politics of choice (choice and competition model (conservative…
R28 S18 the politics of choice
Trust model
profs & managers trusted to
do what is best for users
deliver high qual services without govt etc interference
pref model: social democrats
knights can be trusted to act in selfless service
preferred model: public sector professionals
targets model
command-and-control
central management set providers' targets:
achieved = reward
failed = penalty
increasingly intro'd to medical profs
falling out of fashion in place of choice model
(e.g. market provides the targets instead)
demoralising, demotivating, restricts initiative
diminished power & autonomy.
voice model
users express dis/satisfaction direct to providers via f2f chat/via higher management/elected representatives
2nd pref model: social democrats
knights will be told what is wrong, and will fix it
middle classes - apt at using voice to get own way (move house, go private)
BUT voice doesn't deliver equity (poor cannot choose)
choice and competition model
tax-funded users choose services offered by competing providers
can deliver equity desired by SDs (w properly designed policies) but isnt preferred model per intrinsic presence of market place
conservative right preferred model
knaves need market-provided incentives to work for public interest
quasi market - otherwise public let to make own choices about what to spend money on (no coercive taxation revs to public services)
taking over from targets model
prev intro'd to medical profs
targets falling out of fashion in favour of...
choice model: market sets the targets
greater freedom = greater risk (less job security)
non-issue when demand outstrips supply
greater reemployment ops than under target model
2nd preferred model: public sector processionals
users: preferred option (according to Brit Consumers' Assoc)
middle class body
writers and readers can already access what they want from public sector, so not need to extend it further (e.g. to the less well off)