2. Competition ≠ privatisation
Competition is not directly observable
Competitive effects are conditional on other
features
Competition is not the only instrument
3. Competition ≠ privatisation
But people are (rightly) suspicious
Telecoms, British Rail, Royal Mail
Private sector treatment centres
Lower LoS
But paid (much) more than they have delivered
4. Competition is not directly observable
Distance measures – how many
organisations are in the vicinity or how far
away is the nearest organisation?
Are neighbouring organisations …
Competing?
Collaborating?
Differentiating?
Additional measures – patient choice,
qualitative information