Florence Nightingale Seminar - Julian Le Grand
From target to market: patient choice and provider competition in health care
Professor Le Grand was introduced by the Head of School, Professor Anne Marie Rafferty. Professor Le Grand's achievements include a secondment to Number 10 Downing Street as senior Policy Adviser to the Prime Minister from 2003 to 2005. He is currently Chairman of Health England: the DH National Reference Group for Health and Well Being; he was also the Chairman of the DFES Working Group on Social Work Practices that reported in April 2007. He is an Honorary Fellow of the Faculty of Public Health Medicine, a Senior Associate of the King’s Fund, and a Founding Academician of the Academy of Learned Societies for the Social Sciences. He has been vice-chairman of a major teaching hospital, a commissioner on the Commission for Health Improvement, and a non-executive director of several health authorities. He has been an adviser to the World Bank and WHO on health policy, and is currently a member of the Group of Societal Policy Analysts advising the President of the European Commission.
Julian Le Grand discussed the merits and demerits of four models of public service delivery: trust, targets and performance management, voice and choice and competition. He concluded that the least worst in many situation (though not all) was choice and competition
The seminar was followed by a wine reception.

