Dismantling the NHS Internal Market by stealth. Ninjas strike again

Croydon Health Services NHS is about to advertise for a new Chief Executive. This isn’t unusual. It’s been a troubled Trust on and off for a while, formed from the merger of Mayday Healthcare NHS Trust with Croydon Community Health Services. It operates University Hospital Croydon along with lots of Community Services, and a Community Hospital. The … Read more

Public sector outsourcing dies a slow death, the nationalisation zombie rises from the dead.

The public sector outsourcing market died another death this week with the news that the UK’s Probation Services (or Offender Management as they are now called by wacky bureaucrats) will all come back in house: https://www.theguardian.com/society/2019/may/16/part-privatisation-probation-sevices-to-be-reversed-offender-management-nationalised-chris-grayling This isn’t entirely news as the problems with Criminal Justice outsourcing have been know about for several years: https://www.theguardian.com/society/2013/dec/15/probation-reforms-put-public-at-higher-riskRead more

The economics of doing the right thing

One of the greatest ever papers published in a history journal was written by Jan Vansina for the Journal of African History Vansina makes the very simple argument that the abolition of slavery increased labour costs. These increased labour costs in turn made it more attractive to invest in mechanisation and industrialisation. And the increased … Read more