000			01659nam a22002057a 4500
999			_c510104 _d510104
008			190724b ||||| |||| 00| 0 eng d
100			_aElkomy, Shimaa _97446
245			_aCheap and dirty: the effect of contracting out cleaning on efficiency and effectiveness
260			_c2019
300			_ap.193-202.
520			_aContracting out of public services, especially ancillary services, has been a key feature of New Public Management since the 1980s. By 2014, more than £100 billion of U.K. public services were being contracted out annually to the private sector. A number of high‐profile cases have prompted a debate about the value for money that these contracts provide. Value for money comprises both the cost and the quality of the services. This article empirically tests the contestability and quality shading hypotheses of contracting out in the context of cleaning services in the English National Health Service. Additionally, a new hypothesis of coupling is presented and tested: the effect of contracting of ancillary services on patient health outcomes, using the hospital‐acquired infection rate as our measure. Using data from 2010–11 to 2013–14 for 130 National Health Service trusts, the study finds that private providers are cheaper but dirtier than their in‐house counterparts. - Reproduced.
650			_aPublic services - United Kingdom _97324
650			_aWork contract _97325
650			_aNew public management - United Kingdom _97326
700			_aCookson, Graham _97327
700			_aJones, Simon _97328
773			_aPublic Administration Review
906			_aHealth Services - United Kingdom
942			_cAR