INTERROGATING INSTITUTIONAL CHANGE: ACTORS' ATTITUDES TO COMPETITION AND COOPERATION IN COMMISSIONING HEALTH SERVICES IN ENGLAND

Since the beginning of the 1990s the public healthcare system in England has been subject to reforms. This has resulted in a structurally hybrid system of public service with elements of the market. Utilizing a theory of new institutionalism, this article explores National Health Service (NHS) managers' views on competition and cooperation as mechanisms for commissioning health services. We interrogate the extent of institutional change in the NHS by examining managers' understanding of the formal rules, normative positions and frameworks for action under the regime of the Health and Social Care Act 2012. Interviews with managers showed an overall preference for cooperative approaches, but also evidence of marketization in the normative outlook and actions. This suggests that hybridity in the NHS has already spread from structure and rules to other institutional pillars. The study showed that managers were adept at navigating the complex policy environment despite its inherent contradictions.     

EXPLAINING VARIATION IN PERCEPTIONS OF RED TAPE: A PROFESSIONALISM‐MARKETIZATION MODEL

In the public administration literature, ways in which perceptions of red tape vary between different parts of the public sector remains relatively unexplored. In this article we define organizational red tape as a subject‐dependent concept; that is, we expect to see variations in the level and type of red tape between different internal stakeholder groups. We then explain variations with two organizational‐based variables, professionalization and marketization. The empirical analysis is undertaken on nearly 800 English local government services. The framework correctly predicts that officials in highly professionalized and marketized services perceive higher levels of red tape, while those in less professionalized and marketized services report lower levels. We then summarize our findings and comment on their theoretical and practical significance.     

Are Congressional Leaders Middlepersons or Extremists? Yes

Infuential theories of legislative organization predict that congressional leaders will be selected from the center of their parties. Yet previous research has generally rejected the “middleperson hypothesis,” finding leaders to be extremists. We challenged these findings by testing more‐appropriate null hypotheses via Monte Carlo simulation. We found that congressional leaders (and leadership candidates as a whole) tend to be closer to their party's median than would occur by chance, but leaders also tend to be selected from the left of the median for Democrats and to the right for Republicans. Compared to the pool of announced candidates for leadership positions, winners are not ideologically distinctive. This result suggests that factors affecting the ideology of leaders tend to operate more at the candidate emergence stage.     

INTRODUCTION: DETERMINANTS OF PERFORMANCE IN PUBLIC ORGANIZATIONS

The performance of public organizations is one of the key topics in public administration research and practice. This topic was examined at the 'The Determinants of Performance in Public Organizations II' conference held at the University of Hong Kong in December 2006. The conference was held in association with the Public Management Research Association . In the present symposium we introduce four of the articles presented at conference. The articles explore: network performance (Kenis and Provan), goal ambiguity (Lee et al .), environmental shocks (Meier and O'Toole), and diversity (Pitts and Jarry). Alongside this we spotlight the importance of this field and introduce three research themes—contingency theory, measurement and data, and analysis.     

WHO SHOULD GO AND WHO SHOULD STAY

The need for more efficient use of probation services is widely accepted. Indeed, many offenders are being incarcerated who might have been better served on probation. However, the percentage of incarcerated offenders who perhaps should have been retained in the community has been open to question The purpose of this study was to provide a bench mark as to the percentage of incarcerated offenders who might be better served on probation.