Max Weber's Principles of Public Management Administration
Hierarchical organisation, specialised division of labour, fixed & formal competencies, written and formal procedures, full time professional staff, impersonality
Universalism, red tape, bureaucratic bloat, agency of bureaucrats
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Characteristics required for contracting
To what extent can users register complaints, are services complex and outcomes difficult to measure, labour intensive service so hard to cut costs, is NGO undercapitalised so vulnerable, highly political environment
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3 stages
Make or buy stage, specification of key elements, manage relationship with contracted provider
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Models of governance & accountability (Bevan & Wilson)
Strengthen clinician oversight, fraud control measures, change finance eg. PPPs provide way to pay for healthcare infrastructure creating transparency & accountability- context critical . Culture limiting loss & waste
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