A review of the evidence of third sector performance and its relevance for a universal comprehensive health system

Emma Miller, Elke Heins, David Price , Allyson Pollock, John Mohan , Jean Shaoul

    Research output: Contribution to journalArticlepeer-review


    UK policy promotes third sector organisations as providers of NHS funded health and social care. We examine the evidence for this policy through a systematic literature review. Our results highlight several problems of studies comparing non-profits with other provider forms, questioning their usefulness for drawing lessons outside the place of study. Most studies deem contextual factors and the regulatory framework in which providers operate as much more important than ownership form. We conclude that the literature does not support the policy of a larger role for the third sector in healthcare, let alone a switch to a market-based system.
    Original languageEnglish
    Pages (from-to)515-526
    Number of pages12
    JournalSocial Policy and Society
    Issue number4
    Publication statusPublished - 2010


    • universal comprehensive health system
    • NHS
    • social care
    • healthcare

    Cite this