Can we rely on the altruism of professionals or the public service ethos to deliver good quality health and education services? How should patients, parents and pupils behave - as grateful recipients or active consumers? The book provides new answers to these questions, and evaluates recent government policies in health services, education, social security and taxation, and puts forward proposals for policy reform: universal capital or 'demogrants', discriminating vouchers, matching grants for pensions and for long-term care and hypothecated taxes.
Preface 1. Introduction: Motivation, Agency, and Public Policy Part I: Theory: From Knave to Knight 2. Knights and Knaves in the Public Sector: What do we Mean and What do we Know? 3. Motivation and the Public Context 4. Knight and Knave: A Theory of Public Service Motivation Part II: From Pawn to Queen 5. Agency and Public Services 6. Agency and Public Finance Part III: Policy 7. Health Care 8. School Education 9. A Demogrant 10. Partnership Savings 11. Hypothecation Epilogue: Doux Commerce Publique
Julian Le Grand is the Richard Titmuss Professor of Social Policy at the London School of Economics. He is an Honorary Fellow of the Faculty of Public Health Medicine, a Founding Academician of the Academy of Learned Societies for the Social Sciences and a Senior Associate of the Kings Fund. He has acted as an advisor and consultant to the World Bank, the European Commission, the World Health Organisation, The Cabinet Office at No.10 Downing Street, HM Treasury, the UK Departments of Health and Social Security and the National Audit Office on health policy, welfare policy and social exclusion. He is the author, co-author or editor of twelve books and over ninety articles and book chapters on public policy, including health.
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