Private sector participation in health and social care services in Scotland: assessing the risk

Asenova, Darinka, Stein, William, McCann, Claire and Marshall, Alasdair (2007) Private sector participation in health and social care services in Scotland: assessing the risk. International Review of Administrative Sciences, 73, (2), 275-292. (doi:10.1177/0020852307077975).


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The UK Government faces increased pressure to provide health and social care services more cheaply yet at a high level of quality. Increased private sector involvement in the funding and delivery of services is seen as a major part of the solution. When assessing the relative merits of approaches to private versus public sector provision, risk may be an important differentiator. This article explores some key points of comparison on risk issues and builds a framework for the assessment of risk-related issues. A twin case study approach is adopted: a care home for older people and a Private Finance Initiative (PFI) hospital. The analysis suggests that in the case of both private financing and of private delivery of health and social care services, the increased involvement of the private sector necessitates rigorous risk assessment and management.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1177/0020852307077975
Additional Information:
ISSNs: 0020-8523 (print)
Related URLs:
Keywords: health care, private finance initiative, risk, risk assessment, social care
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > RA Public aspects of medicine
Divisions : University Structure - Pre August 2011 > School of Management
ePrint ID: 65149
Accepted Date and Publication Date:
Date Deposited: 06 Feb 2009
Last Modified: 31 Mar 2016 12:50

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