TY - JOUR
T1 - Discretion drift in primary care commissioning in England: Towards a conceptualization of hybrid accountability obligations
AU - Gore, Oz
AU - McDermott, Imelda
AU - Checkland, Kath
AU - Allen, Pauline
AU - Moran, Valerie
PY - 2020/7
Y1 - 2020/7
N2 - In the context of welfare delivery, hybrid organizations mix public and ‘new’ market, social, and professional types of mechanisms and rationales. This article contributes to our understanding of accountability within hybrid organizations by highlighting how accountability obligations can become hybrid, simultaneously formal and informal. Instead of seeing accountability as hybrid only in the sense of the coexistence of types of organizational mechanisms and structures (i.e., the prevalence of both state and market types), we examine accountability arrangements governing a hybrid model—primary care commissioning in England—and interrogate the relationships between accountability actors and their accountability forums. We conceptualize ‘hybrid accountability obligations’ as a state whereby the nature of obligation underpinning accountability relationships is both formal-informal and vertical-horizontal concurrently. The article concludes by highlighting the consequences of this kind of hybridity, namely how it extended discretion from welfare delivery to the domain of welfare governance.
AB - In the context of welfare delivery, hybrid organizations mix public and ‘new’ market, social, and professional types of mechanisms and rationales. This article contributes to our understanding of accountability within hybrid organizations by highlighting how accountability obligations can become hybrid, simultaneously formal and informal. Instead of seeing accountability as hybrid only in the sense of the coexistence of types of organizational mechanisms and structures (i.e., the prevalence of both state and market types), we examine accountability arrangements governing a hybrid model—primary care commissioning in England—and interrogate the relationships between accountability actors and their accountability forums. We conceptualize ‘hybrid accountability obligations’ as a state whereby the nature of obligation underpinning accountability relationships is both formal-informal and vertical-horizontal concurrently. The article concludes by highlighting the consequences of this kind of hybridity, namely how it extended discretion from welfare delivery to the domain of welfare governance.
UR - https://www.mendeley.com/catalogue/492608e2-dd19-3845-9275-67ca9b3944ac/
U2 - https://doi.org/10.1111/padm.12554
DO - https://doi.org/10.1111/padm.12554
M3 - Article
SN - 0033-3298
VL - 98
SP - 291
EP - 307
JO - Public Administration
JF - Public Administration
IS - 2
ER -