Bargaining Power

This monograph applies Kingdon's Multiple Streams Framework to two policymaking episodes of implementing pay for performance in general practice, conducted in England and New Zealand. The Framework's explanatory power for policymaking in Westminster majoritarian jurisdictions is tested and, based on rigorous comparative analysis, recommendations are made for its refinement.  The monograph also offers striking lessons for policymakers about how to negotiate successfully with general practitioners.  

Verna Smith is a Senior Lecturer in Public Policy at Victoria University of Wellington, New Zealand and Adjunct Research Fellow of Monash University, Australia. Her academic interests are in comparative health systems analysis, public accountability frameworks and public policymaking in Westminster majoritarian systems.

CHAPTER ONE: A tale of two countries.- CHAPTER TWO: Analysing public policy: Does Kingdon's Multiple Streams Framework help?.- CHAPTER THREE: A comparison of the English and New Zealand general practice sub-systems.- CHAPTER FOUR: England: Context and the Quality and Outcomes Framework.- CHAPTER FIVE: Utility of Kingdon's MS Framework: Policymaking in England.- CHAPTER SIX: New Zealand: Context and the Performance Programme.- CHAPTER SEVEN: Utility of Kingdon's MS Framework: Policymaking in New Zealand.- CHAPTER EIGHT: The two case studies compared.- CHAPTER NINE: Conclusion.