ORCID
- Rod Sheaff: 0000-0002-7984-2627
- Rebecca Hardwick: 0000-0002-2488-829X
Abstract
When publicly-funded services are outsourced, governments still use multiple governance structures to retain some control over the services provided. Using realist methods the authors systematically compared this aspect of community health activities provided by third sector organizations in six English localities during 2020–2022. Two modes of commissioning coexisted. Commodified commissioning largely embodied Washington consensus models of formal, competitive procurement. A contrasting, collaborative mode of commissioning relied more upon relational, long-term co-operation and networking among organizations. When the two modes conflicted, commissioners often favoured the collaborative mode and sought to adjust their commissioning to make it less commodified.
DOI Link
Publication Date
2023-08-15
Publication Title
Public Money & Management
Volume
44
Issue
4
ISSN
1467-9302
Acceptance Date
2023-08-01
Deposit Date
2023-01-08
Embargo Period
2023-08-31
Funding
The research on which this article is based was funded by the NIHR Health Services Delivery Research programme, grant NIHR 128107. The views and opinions expressed above are those of the authors, not necessarily those of the Health Services and Delivery Research Programme, NIHR, NHS or the UK Department of Health.
Keywords
Commissioning, commodification, England, inter-organization collaboration, networks, outsourcing, third sector, Washington consensus
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
First Page
298
Last Page
307
Recommended Citation
Sheaff, R., Ellis-Paine, A., Exworthy, M., Hardwick, R., & Smith, C. (2023) 'Commodification and healthcare in the third sector in England: from gift to commodity – and back?', Public Money & Management, 44(4), pp. 298-307. Available at: 10.1080/09540962.2023.2244350
