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The introduction of market mechanisms and a new public management are transforming government and public service throughout the world. Drawing on the experience of a number of countries but focusing, in particular, on the UK where change has progressed furthest and on the broadest front, this is the first comprehensive account of the impact of a whole range of innovations such as charging, contracting, internal markets and the creation of devolved agencies.

What are the implications of the contract culture and its introduction into Britain's public services, for both the providers and users of services? The authors compare and contrast local government, health, and social care services, arguing that these changes involve a fundamental break with past understandings of public services management. This new study, based on original research in the field, examines the situation on the ground and identifies the prospects for future action.