Includes bibliographical references (pages 183-195).
Ends and means -- Choice and competition -- School education -- Health care -- New ideas -- The politics of choice -- An American perspective / Alain Enthoven -- A sceptic's perspective / David Lipsey.
How can we ensure high-quality public services such as health care and education? Governments spend huge amounts of public money on public services such as health, education, and social care, and yet the services that are actually delivered are often low quality, inefficiently run, unresponsive to their users, and inequitable in their distribution. In this book, Julian Le Grand argues that the best solution is to offer choice to users and to encourage competition among providers. Le Grand has just completed a period as policy advisor working within the British government at the highest levels.