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Governance, commissioning and public health$
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Linda Marks

Print publication date: 2014

Print ISBN-13: 9781447304944

Published to Policy Press Scholarship Online: January 2015

DOI: 10.1332/policypress/9781447304944.001.0001

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Levers for change (1): governance arrangements

Levers for change (1): governance arrangements

(p.95) CHAPTER FOUR Levers for change (1): governance arrangements
Governance, commissioning and public health

Linda Marks

Policy Press

National governments adopt a range of methods for assuring standards and monitoring performance, including regulatory frameworks, targets and arrangements for audit and scrutiny. Performance management of public services through a complex system of targets and assurance frameworks was a characteristic feature of the former Labour government, largely dismantled by the Coalition government in favour of a greater role for self-assessment. This chapter reviews public health-related standards, regulation and monitoring arrangements at the time of the study, with an emphasis on targets and the extent to which they were aligned across different agencies or reflected local priorities. It assesses the impact of performance management on decision-making, drawing on evidence from the study. In practice, short-term demands displaced a longer-term public health perspective and targets for acute care predominated. It concludes by discussing relevance of the research to public health commissioning following implementation of the 2012 Health and Social Care Act.

Keywords:   performance management, standards, public health targets, assurance frameworks

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