In recent years, NHS reform in England has focused on stimulating competition between providers and increasing choice for patients. Many NHS organisations are now as much businesses as they are public bodies; if they fail to design services around patients and meet their needs, they should start to lose custom as well as incurring the… [Read More]
In its current state, the NHS functions on the basis of what has been variously called a quasi, mimic or internal market, where providers – NHS, voluntary and private – are theoretically competing and placed on an even footing. With debate around this principle intensifying, this paper revisits the anticipated benefits of the use of… [Read More]
After years of being seen as outmoded, industrial policy is back on the political agenda, this time renamed ‘industrial activism’. There is a widespread concern, fuelled by the crisis in the financial sector, that we have been too complacent about the decline in UK manufacturing, assuming that service industries would guarantee continuing prosperity with or… [Read More]
Sharia law is a distillation of rulings that purport to represent the divine diktat in all worldly affairs. It provides injunctions for the conduct of criminal, public and even international law. Marriage and divorce, the custody of children, alimony, sexual impropriety and much else come within its remit. Sharia courts are operating in Britain, handing… [Read More]
As the size and scope of government grows, so do the resources allocated to public services. But how do we know that allocations are fair or reasonable? In “Failing to Figure” Mervyn Stone examines the process, including the allocation of funds to Primary Care Trusts, and finds it lacking in transparency, and even common sense.
In 1959, C.P. Snow delivered a lecture in Cambridge entitled ‘The Two Cultures and the Scientific Revolution’. Snow warned of a gap that had opened up between scientists and literary intellectuals. The latter were not only ignorant of science, but contemptuous of it – as if scientific knowledge were unnecessary for a good education. In… [Read More]
We need to reframe the constitutional settlement that defines the relationship between the state and the individual in civil society. The state should be confined to the legitimate tasks that are within its competence, thus allowing greater scope for private enterprise and social entrepreneurs to supply public services more effectively.
Members of Parliament have traditionally enjoyed total legislative supremacy in the United Kingdom, able to pass or rescind any law of the land. Most citizens of Britain probably think that this is still the case. However, in this worrying examination of the dilution of the sovereignty of parliament by its own members, Nick Cowen shows… [Read More]
The Key to Early Reading Success ‘The Butterfly Book’ offers a self-contained course in reading and writing that introduces the 44 sounds of the English language and teaches children how to blend them into syllables and words. By the end of this course, a child will not just have learnt an essential vocabulary but will… [Read More]
The Quality and Outcomes Framework (QOF) links up to a third of general practice income to achievement against a series of quality indicators. While it has delivered benefits in the treatment of conditions included, the net benefit is unclear. There is evidence that the financial incentive is diverting attention away from other conditions and harming… [Read More]