Gwyn Bevan is emeritus professor of policy analysis in, and a former head of, the Department of Management at the London School of Economics and Political Science. He is an affiliate professor in the Istituto di Management of the Scuola Superiore Sant’Anna, Pisa. He has served on advisory committees to the Inspectorate of Police and Fire Services in England and Wales, the Education Commission of the Rockefeller Foundation on research in developing countries, and governments in England on allocating resources for healthcare and public health, the reform of publicly financed legal services, and funding research into overseas aid. He was director of the Office for Healthcare Performance at the Commission for Health Improvement from 2001 to 2004, which was responsible for inspections of quality of care in the NHS in England and Wales.

• Extended contentsList of figuresAbout the authorPrefaceAcknowledgements1 Why governance matters analysing systemic failures in the National Health Service1.1 The Bristol babies scandal1.2 If Bristol was the problem was clinical governance the answer1.3 Mid Staffordshire from clinical governance to market and regulatory failure1.4 Diagnosing the causes of systemic failures in governance of the NHS1.5 The structure of this book political settlements and their fault lines2 Economic and geographical fault lines2.1 A mediaeval pandemic and the divergence of inclusive and extractive societies in Europe2.2 From serfdom to a maximal state2.3 Governance and corruption effects in Western Europe2.4 Social capital governance and innovation2.5 The institutions of capitalism in the UK and Germany2.6 Oldham and Oxford divergent development in the UKConclusions3 The interwar period and the Clement Attlee settlement3.1 The roots of the problems Britain before 19393.2 The problem of unemployment3.3 The economic freeze of healthcare education and housing3.4 Foundations laid by the wartime coalition government3.5 The post war Attlee settlementConclusions Attlee’s legacy4 The Attlee settlement’s failures stagflation slums in the sky and educational geography4.1 Stagflation and the failure to control public expenditure4.2 Public housing and slums in the sky4.3 Schools universities and educational geographyConclusions5 Neoliberalism and the new Margaret Thatcher settlement5.1 The ideology of neoliberalism5.2 Monetarism5.3 The Global Financial Crisis made in Chicago5.4 The financialisation of the UK’s economy after Thatcher5.5 Financialisation of housing in the UKConclusions6 The make or buy decision the UK’s parastate after privatisation and outsourcing6.1 Privatising industries coal and steel6.2 Privatising key service industries6.3 The makings of the Challenger tragedy6.4 Outsourcing and the UK’s parastateConclusions7 Marketisation in education7.1 Designing social segregation by schools in Chile’s voucher system7.2 Did England’s quasi market for schools deliver equity through choice7.3 England’s search for an optimal and equitable university system7.4 Back to the Attlee settlementConclusions8 Healthcare to marketise or not to marketise8.1 Equity and cost control in Canada but not the US8.2 An internal market for hospitals a concept lost in translation8.3 Designing public reporting systems to improve performance8.4 Managing the commonsConclusions9 Playing the opening and middle games against COVID-199.1 The opening game9.2 Following the science9.3 Making astrology look good9.4 Hindsight bias and fighting the last war9.5 Herd immunity by default in England9.6 Lockdowns a later part of the opening game9.7 Failures of outsourcing9.8 Vaccines the middle game against Covid 19Conclusions10 Afterword re engaging with public governance10.1 Pathologies of neoliberalism10.2 Second thoughts on markets and quasi markets10.3 Governing by reciprocal altruism10.4 A new political settlementSelected bibliography

Gwyn Bevan is emeritus professor of policy analysis in, and a former head of, the Department of Management at the London School of Economics and Political Science. He is an affiliate professor in the Istituto di Management of the Scuola Superiore Sant’Anna, Pisa. He has served on advisory committees to the Inspectorate of Police and Fire Services in England and Wales, the Education Commission of the Rockefeller Foundation on research in developing countries, and governments in England on allocating resources for healthcare and public health, the reform of publicly financed legal services, and funding research into overseas aid. He was director of the Office for Healthcare Performance at the Commission for Health Improvement from 2001 to 2004, which was responsible for inspections of quality of care in the NHS in England and Wales.

• Extended contentsList of figuresAbout the authorPrefaceAcknowledgements1 Why governance matters analysing systemic failures in the National Health Service1.1 The Bristol babies scandal1.2 If Bristol was the problem was clinical governance the answer1.3 Mid Staffordshire from clinical governance to market and regulatory failure1.4 Diagnosing the causes of systemic failures in governance of the NHS1.5 The structure of this book political settlements and their fault lines2 Economic and geographical fault lines2.1 A mediaeval pandemic and the divergence of inclusive and extractive societies in Europe2.2 From serfdom to a maximal state2.3 Governance and corruption effects in Western Europe2.4 Social capital governance and innovation2.5 The institutions of capitalism in the UK and Germany2.6 Oldham and Oxford divergent development in the UKConclusions3 The interwar period and the Clement Attlee settlement3.1 The roots of the problems Britain before 19393.2 The problem of unemployment3.3 The economic freeze of healthcare education and housing3.4 Foundations laid by the wartime coalition government3.5 The post war Attlee settlementConclusions Attlee’s legacy4 The Attlee settlement’s failures stagflation slums in the sky and educational geography4.1 Stagflation and the failure to control public expenditure4.2 Public housing and slums in the sky4.3 Schools universities and educational geographyConclusions5 Neoliberalism and the new Margaret Thatcher settlement5.1 The ideology of neoliberalism5.2 Monetarism5.3 The Global Financial Crisis made in Chicago5.4 The financialisation of the UK’s economy after Thatcher5.5 Financialisation of housing in the UKConclusions6 The make or buy decision the UK’s parastate after privatisation and outsourcing6.1 Privatising industries coal and steel6.2 Privatising key service industries6.3 The makings of the Challenger tragedy6.4 Outsourcing and the UK’s parastateConclusions7 Marketisation in education7.1 Designing social segregation by schools in Chile’s voucher system7.2 Did England’s quasi market for schools deliver equity through choice7.3 England’s search for an optimal and equitable university system7.4 Back to the Attlee settlementConclusions8 Healthcare to marketise or not to marketise8.1 Equity and cost control in Canada but not the US8.2 An internal market for hospitals a concept lost in translation8.3 Designing public reporting systems to improve performance8.4 Managing the commonsConclusions9 Playing the opening and middle games against COVID-199.1 The opening game9.2 Following the science9.3 Making astrology look good9.4 Hindsight bias and fighting the last war9.5 Herd immunity by default in England9.6 Lockdowns a later part of the opening game9.7 Failures of outsourcing9.8 Vaccines the middle game against Covid 19Conclusions10 Afterword re engaging with public governance10.1 Pathologies of neoliberalism10.2 Second thoughts on markets and quasi markets10.3 Governing by reciprocal altruism10.4 A new political settlementSelected bibliography

Gwyn Bevan is emeritus professor of policy analysis in, and a former head of, the Department of Management at the London School of Economics and Political Science. He is an affiliate professor in the Istituto di Management of the Scuola Superiore Sant’Anna, Pisa. He has served on advisory committees to the Inspectorate of Police and Fire Services in England and Wales, the Education Commission of the Rockefeller Foundation on research in developing countries, and governments in England on allocating resources for healthcare and public health, the reform of publicly financed legal services, and funding research into overseas aid. He was director of the Office for Healthcare Performance at the Commission for Health Improvement from 2001 to 2004, which was responsible for inspections of quality of care in the NHS in England and Wales.

• Extended contentsList of figuresAbout the authorPrefaceAcknowledgements1 Why governance matters analysing systemic failures in the National Health Service1.1 The Bristol babies scandal1.2 If Bristol was the problem was clinical governance the answer1.3 Mid Staffordshire from clinical governance to market and regulatory failure1.4 Diagnosing the causes of systemic failures in governance of the NHS1.5 The structure of this book political settlements and their fault lines2 Economic and geographical fault lines2.1 A mediaeval pandemic and the divergence of inclusive and extractive societies in Europe2.2 From serfdom to a maximal state2.3 Governance and corruption effects in Western Europe2.4 Social capital governance and innovation2.5 The institutions of capitalism in the UK and Germany2.6 Oldham and Oxford divergent development in the UKConclusions3 The interwar period and the Clement Attlee settlement3.1 The roots of the problems Britain before 19393.2 The problem of unemployment3.3 The economic freeze of healthcare education and housing3.4 Foundations laid by the wartime coalition government3.5 The post war Attlee settlementConclusions Attlee’s legacy4 The Attlee settlement’s failures stagflation slums in the sky and educational geography4.1 Stagflation and the failure to control public expenditure4.2 Public housing and slums in the sky4.3 Schools universities and educational geographyConclusions5 Neoliberalism and the new Margaret Thatcher settlement5.1 The ideology of neoliberalism5.2 Monetarism5.3 The Global Financial Crisis made in Chicago5.4 The financialisation of the UK’s economy after Thatcher5.5 Financialisation of housing in the UKConclusions6 The make or buy decision the UK’s parastate after privatisation and outsourcing6.1 Privatising industries coal and steel6.2 Privatising key service industries6.3 The makings of the Challenger tragedy6.4 Outsourcing and the UK’s parastateConclusions7 Marketisation in education7.1 Designing social segregation by schools in Chile’s voucher system7.2 Did England’s quasi market for schools deliver equity through choice7.3 England’s search for an optimal and equitable university system7.4 Back to the Attlee settlementConclusions8 Healthcare to marketise or not to marketise8.1 Equity and cost control in Canada but not the US8.2 An internal market for hospitals a concept lost in translation8.3 Designing public reporting systems to improve performance8.4 Managing the commonsConclusions9 Playing the opening and middle games against COVID-199.1 The opening game9.2 Following the science9.3 Making astrology look good9.4 Hindsight bias and fighting the last war9.5 Herd immunity by default in England9.6 Lockdowns a later part of the opening game9.7 Failures of outsourcing9.8 Vaccines the middle game against Covid 19Conclusions10 Afterword re engaging with public governance10.1 Pathologies of neoliberalism10.2 Second thoughts on markets and quasi markets10.3 Governing by reciprocal altruism10.4 A new political settlementSelected bibliography