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Title: Discretion Drift in Primary Care Commissioning in England: Towards a Conceptualisation of Hybrid Accountability Obligations
Authors: Gore, O
McDermott, I
Checkland, K
Allen, P
Moran, V
First Published: 14-Sep-2018
Publisher: Wiley
Citation: Public Administration, 2018;1–17.
Abstract: In the context of welfare delivery, hybrid organizations mix public and ‘new’ market, social, and professional types of mechanisms and rationales. This article contributes to our understanding of accountability within hybrid organizations by highlighting how accountability obligations can become hybrid, simultaneously formal and informal. Instead of seeing accountability as hybrid only in the sense of the coexistence of types of organizational mechanisms and structures (i.e., the prevalence of both state and market types), we examine accountability arrangements governing a hybrid model—primary care commissioning in England—and interrogate the relationships between accountability actors and their accountability forums. We conceptualize ‘hybrid accountability obligations’ as a state whereby the nature of obligation underpinning accountability relationships is both formal‐informal and vertical‐horizontal concurrently. The article concludes by highlighting the consequences of this kind of hybridity, namely how it extended discretion from welfare delivery to the domain of welfare governance.
DOI Link: 10.1111/padm.12554
ISSN: 0033-3298
eISSN: 1467-9299
Embargo on file until: 14-Sep-2020
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2018, John Wiley & Sons Ltd. Deposited with reference to the publisher’s open access archiving policy. (
Description: The file associated with this record is under embargo until 24 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.
Appears in Collections:Published Articles, College of Social Science

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