The future of the NHS? Lessons from the market in social care in England

This report looks at how the market in social care services in England provides the best available example for policy makers of what happens to the quality of care and the terms and conditions of the care workforce when competitive pressures are used to bring about a reduction in the cost of care to the taxpayer. It calls for public debate and the development of informed mitigation strategies to prevent this happening in the new market in the NHS in England.

The future of the NHS? Lessons from the market in social care in England

About the authors

Prof Marianna Fotaki

Marianna Fotaki is Full Professor of Business Ethics at University of Warwick Business School working on the marketization of health policy, inequalities in organizations and society, solidarity responses to refugee and forced migrants arrivals as well as whistleblowing. With Professor Kenny and Dr Wim Vandekerckhove, she has published The Whistleblowing Guide: Speak‐up Arrangements, Challenges, and Best‐Practices, Wiley (2019).See all posts by Prof Marianna Fotaki

Sally Ruane

Sally Ruane is the Deputy Director of the Health Policy Research Unit at De Montfort University, Leicester and a former member of the CHPI's EMT. She has published in books, academic journals and magazines in the UK and Spain and has a particular interest in the private finance initiative, service configuration and political aspects of the policy process.See all posts by Sally Ruane

Colin Leys

Colin is an emeritus professor at Queen’s University, Canada, and an honorary professor at Goldsmiths, University of London. Since 2000 he has written extensively on health policy. He is co-author with Stewart Player of Confuse and Conceal: the NHS and Independent Sector Treatment Centres.See all posts by Colin Leys