Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales

Abstract

BACKGROUND This paper examines NHS secondary care contracting in England and Wales in a period which saw increasing policy divergence between the two systems. At face value, England was making greater use of market levers and utilising harder-edged service contracts incorporating financial penalties and incentives, while Wales was retreating from the 1990 s… (More)
DOI: 10.1186/1472-6963-13-S1-S7

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