From charity to social enterprise: a case study highlights challenges in adopting self-directed support policy

What are the impacts when a third-sector organisation providing social care services moves toward an open and competitive market?

Jenny Fisher considers the perspectives of staff, managers and service users of a Scottish social care charitable organisation for children with complex needs, which faces funding and organisational change, brought about by self-directed support legislation.

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Can competition improve management quality in the NHS?

Main image - Chris

Chris Sampson reports on a discussion paper produced by the Centre for Economic Performance, which looks at the impact of competition on management quality in hospitals.

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Commissioning Support Units: Their progress so far

Back office function

The Health Service Journal has published this supplement to highlight the successes of Commissioning Support Units (CSUs), and to discuss their next steps, as they “enter a competitive market next year”, where they have to bid to get a place on the lead provider framework. There has been immense change since CSUs were first launched, [read the full story…]