CONSUMERISM, DECENTRALIZATION AND LOCAL DEMOCRACY

Robin Hambleton

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Public Policy and Administration Research Local Governance and Planning Health Services Management and Policy

Abstract

Three broad options for public service reform are attracting considerable interest within British local government and the National Health Service – consumerism, decentralization and the extension of local democracy. This article examines each of these options in some detail. While each avenue offers a number of exciting possibilities for change each also conceals a confusion of different hopes and aspirations. It is essential to develop a much sharper analysis of what is on offer and of the underlying driving forces for change. Some proposals are essentially managerial, some are clearly political, others combine managerial and political change. There is a major risk that many authorities will attempt to implement some or all of these new ideas without thinking through the implications.

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References

1969A Ladder Of Citizen Participation 1997Capitalism, Socialism and Democracy 1943Capitalism, Socialism and Democracy.1970Participation and Democratic Theory 1983In Search of Excellence: Lessons from America's Best-Run Companies.1986Models of Democracy 1986A Passion for Excellence: The Leadership Difference 1974Urban Outcomes

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