TY - JOUR

T1 - The mixed economy and the NHS across Morecambe Bay

T2 - Voluntary, commercial, charitable and private medicine, 1948-79

AU - Lambert, Michael

PY - 2023/10/1

Y1 - 2023/10/1

N2 - The third sector has been positioned as the key partner for successful integrated care at both system and national levels. Yet the NHS has always existed within a ‘mixed economy’ of healthcare; one with a ‘moving frontier’ between public, private and the third sectors. There has been continuity despite change and resilience within the local system against recurrent reform. This paper explores these continuities in Morecambe Bay from 1948 to 1979 covering voluntary, commercial, charitable, and private medicine across the historic tripartite division of the NHS. It demonstrates an enduring tension between bottom-up and top-down understanding of partnership between the NHS and other sectors mediated by place.

AB - The third sector has been positioned as the key partner for successful integrated care at both system and national levels. Yet the NHS has always existed within a ‘mixed economy’ of healthcare; one with a ‘moving frontier’ between public, private and the third sectors. There has been continuity despite change and resilience within the local system against recurrent reform. This paper explores these continuities in Morecambe Bay from 1948 to 1979 covering voluntary, commercial, charitable, and private medicine across the historic tripartite division of the NHS. It demonstrates an enduring tension between bottom-up and top-down understanding of partnership between the NHS and other sectors mediated by place.

U2 - https://www.mbmj.co.uk/index.php/mbmj/article/view/1424/1354

DO - https://www.mbmj.co.uk/index.php/mbmj/article/view/1424/1354

M3 - Journal article

VL - 9

SP - 147

EP - 151

JO - Morecambe Bay Medical Journal

JF - Morecambe Bay Medical Journal

SN - 1466-707X

IS - 5

ER -