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This paper takes as its main themes the impact of public choice theory and the impact of Thatcherism and the rise of public management on the delivery of public services. These themes have created, according to a Chief Executive of a Regional Health Authority, the need ‘to learn new disciplines of commercial relationships and competitive tendering and so on, and at the same time . . . remember the very important traditional public service values; and that is not an easy combination’. Whether the relationship with business has been a temporary affair, a marriage of convenience or a marriage until death do us part, business and business practices have had significant implications for the dominant morality now prevailing in the delivery of public services.
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