Managing risk and regulation within new local 'health economies': The case of NHS LIFT (Local Improvement Finance Trust)

Article


Aldred, Rachel 2008. Managing risk and regulation within new local 'health economies': The case of NHS LIFT (Local Improvement Finance Trust). Health, Risk & Society. 10 (1), pp. 23-36.
AuthorsAldred, Rachel
Abstract

This paper analyses NHS Local Improvement Finance Trust (LIFT), a relatively new policy that shifts UK primary care premises into corporate ownership. LIFT is a more
radical version of the Private Finance Initiative (PFI), and may indicate the future
direction of neoliberal welfare services. Like PFI, LIFT foregrounds issues of risk and
regulation, enabling their reconceptualisation. This echoes certain themes present in the
sociology of risk, including the idea that the welfare state has created and amplified,
rather than managed, risk. Under LIFT, risks are constructed as (a) primarily economic
and (b) primarily from the point of view of the large commercial organisations involved.
Evidence presented here depicts banks as risk averse, challenging assumptions that
private firms display risk-taking behaviour.

KeywordsPrivatization; primary care; NHS LIFT; commodification; PFI; health
JournalHealth, Risk & Society
Journal citation10 (1), pp. 23-36
ISSN1369-8575
Year2008
Accepted author manuscript
License
CC BY-ND
Web address (URL)http://dx.doi.org/10.1080/13698570701782411
http://hdl.handle.net/10552/221
Publication dates
PrintFeb 2008
Publication process dates
Deposited29 Jul 2009
Additional information

Citation:
Aldred, R (2008) ‘Managing risk and regulation within new local 'health economies': The case of NHS LIFT (Local Improvement Finance Trust)’ Health, Risk & Society 10 (1) 23-36.

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