Professor Carolyn Tuohy, University of Toronto, discusses the role of a new player in health policy – the institutional entrepreneur
Reform of health care systems to improve quality and contain costs is a pressing goal for governments worldwide. The formation of health policy is shaped by many forces, but are we seeing the emergence of a new player, the institutional entrepreneur?
We were delighted to welcome Professor Carolyn Tuohy, School of Public Policy and Governance, University of Toronto, who used research undertaken for a new book to highlight how institutional entrepreneurs have emerged in the UK, the Netherlands and the United States, and to a lesser extent in Canada.
She argued that these entrepreneurs, for example, GP commissioners, are uniquely placed at the boundaries of the private and public sphere to be able to exert a new kind of influence on the formation of policy. She explored how these entrepreneurs emerged within the NHS, from GP fundholding, and exerted a powerful influence on the evolution of clinical commissioning – which represents one of the boldest reforms contained in the Health and Social Care Act.
At the seminar, delegates had the opportunity to:
This seminar built on the success of an earlier event held by the Nuffield Trust and the London School of Hygiene and Tropical Medicine: Big-Bangs, blueprints, mosaics and increments: patterns of health policy change in Britain, the Netherlands, the United States and Canada.
The seminar was chaired by Nuffield Trust Director of Policy Dr Judith Smith.