This paper asks whether a highly centralised system can sit comfortably alongside a market-led approach, and whether market forces can respond effectively to demands of an ageing population. It brings together the views of three expert commentators: Julian Le Grand says stronger market incentives would improve performance among secondary care providers; Peter Smith argues against even modest experimentation with stronger market incentives; and Jennifer Dixon looks at the possibility of combining the best aspects of market disciplines with planned provision.
No. of pages: 49
ISBN: 978 1 85717 477 9