To SIB or not to SIB? A comparative analysis of the commissioning processes of two proposed health-focused Social Impact Bond financed interventions in England

TY - JOUR

T1 - To SIB or not to SIB? A comparative analysis of the commissioning processes of two proposed health-focused Social Impact Bond financed interventions in England

AU - Fraser, A.

AU - Tan, S.

AU - Mays, N.

PY - 2019/2/20

Y1 - 2019/2/20

N2 - We explore the development of two proposed Social Impact Bond (SIB) financed interventions in health care in the English National Health Service (NHS). This is important because very little is known about the processes involved in the localised development of these nascent financing mechanisms. We apply a ‘decentred’ approach to network governance to the case studies – one in which a SIB financed intervention was initiated and another in which it was not. We find that moving from the prevailing competitive quasi-market NHS commissioning traditions to new forms of integrated commissioning may require a more collaborative approach to service procurement than has typically been the case in the recent past in English healthcare. This may pose dilemmas for the relevant networks.

AB - We explore the development of two proposed Social Impact Bond (SIB) financed interventions in health care in the English National Health Service (NHS). This is important because very little is known about the processes involved in the localised development of these nascent financing mechanisms. We apply a ‘decentred’ approach to network governance to the case studies – one in which a SIB financed intervention was initiated and another in which it was not. We find that moving from the prevailing competitive quasi-market NHS commissioning traditions to new forms of integrated commissioning may require a more collaborative approach to service procurement than has typically been the case in the recent past in English healthcare. This may pose dilemmas for the relevant networks.

U2 - 10.1080/17487870.2019.1572508

DO - 10.1080/17487870.2019.1572508

M3 - Article

SN - 1748-7889

JO - Journal of Economic Policy Reform

JF - Journal of Economic Policy Reform

ER -