EQUAL OPPORTUNITIES FOR WOMEN IN THE NHS: THE PROSPECTS OF SUCCESS?

The position of women in the NHS suggests widespread latent discrimination. The prospects of developing equality of opportunity are not promising, as neither external agencies nor internal managers are capable of bringing about the necessary changes. However, changing demographic factors might result in enlightened personnel policies which will assist the development of equal opportunities.     

Capabilities,capacity, and consent: sexual intimacy in the Court of Protection

This article uses original data from research at the Court of Protection to explore capacity to consent to sex in practice. It argues that the approach under the Mental Capacity Act 2005 fails to place appropriate focus on consent as central to understanding sexual capacity. The capabilities approach to justice is then used to demonstrate the limitations of the existing legal approach to capacity to consent to sex, and to argue that the protective focus of the legal test would be better centred on the social risks resulting from non‐consensual sex and exploitation. Finally, the article argues that, rather than focusing on a medicalized approach to understanding sexual intimacy, an analysis based on capabilities theory provides conceptual tools to support arguments for additional resources to help disabled people to realize their rights to sexual intimacy.     

EXPLAINING RADICAL POLICY CHANGE: THE CASE OF CLIMATE CHANGE AND ENERGY POLICY UNDER THE BRITISH LABOUR GOVERNMENT 2006–10

An innovative framework combining the ‘multiple streams’ (MS) and ‘punctuated equilibrium’ (PE) models of agenda‐setting is used to explain the transformation of UK climate change and energy policy under the Labour Government between 2006 and 2010. The coupling of the problem, politics and policy streams by policy entrepreneurs (MS), and changes in policy image and institutional venues (PE), were critical in opening a policy window, disrupting the existing policy monopoly and enabling radical policy initiatives. The case study suggests two revisions to the models: (1) policy windows can remain open far longer than either model typically predicts; and (2) party politics, especially where party competition generates a ‘competitive consensus’, can be important for both initiating and prolonging policy change in parliamentary systems. An important factor typically overlooked by both models is the significant policy entrepreneurship role that government ministers can play, particularly when an issue becomes part of their ‘narrative identity’.     

QUEER(Y)ING PUBLIC ADMINISTRATION

Queer theory, understood here as a set of political/politicized practices and positions which resist normative knowledge and identities, has emerged as a theoretical perspective having important emancipatory and explanatory power in the arts, humanities and social sciences. Queer theory resists definition ipso facto, residing as it does within a postructuralist paradigm. It has not hitherto featured within the discipline of public administration and we argue the case for its utilisation in this field by first explicating the theory. Here we develop a way of using queer theory to analyse data, notably through the identification of the ‘moments’ of a queer theory analysis: identification of the norms that govern identity, analysis of what is allowable within those norms, and exploration of what is unspeakable. We demonstrate its use via an empirically‐based case study. The lessons from this exercise are then applied to some of our earlier work which we re‐read through a queer theory lens. This shows the great explanatory power offered by the theory, in that it can develop insights that previously have been inaccessible. We conclude with recommendations for its broader application and wider use within public administration.     

GOVERNING INFORMATION: A THREE DIMENSIONAL ANALYSIS OF ENVIRONMENTAL ASSESSMENT

This article examines the institutional, political and regulatory dimensions of environmental assessment (EA) processes. While EA is most often conceptualized as a regulatory instrument, this article contends that viewing EA in this narrow fashion obscures the broader implications and significance of EA as a distinct form of governance. When conceived as a mode of governance, EA varies considerably in terms of the key governance characteristics emphasized in this symposium. The empirical evidence rests upon three cases studies looking at very different multi‐level governance contexts: the Tamar Valley Pulp Mill in Australia, the Whites Point Quarry in Canada, and the Byströe Canal Project in the Ukraine. The case study analysis identifies large variations in the institutional, political and regulatory form that EAs take, indicating that approaches identifying EA as a form of ‘New Governance’ are overly simplistic. The analysis also points to the multi‐directional influence of different governance dimensions. The insights derived from the use of the three dimensional framework validate its value as an analytical tool.     

Information, visibility and elections: Why electoral outcomes differ when voters are better informed

This article assesses the aggregate effect of information shortfall on the outcome of the last six Canadian elections. Building on Bartels' analysis, the authors find an information effect in three of the six elections examined, and in each case the information gap benefits the Liberal Party. That finding raises the question: why does information matter in some contexts but not in others? It is argued in this article that the information gap is related to lack of visibility. When and where all political parties have some degree of visibility, the less informed vote like the better informed, but when and where a party is hardly visible, the less informed are less likely to support that party. The less informed appear to consider a smaller set of options when they decide how to vote.     

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.