Machine generated contents note: 1.A Tale of Two Countries -- 2.Analysing Public Policy: Does Kingdon's Multiple Streams Framework Help? -- 3.A Comparison of the English and New Zealand General Practice Sub-Systems -- 4.England: Context and the Quality and Outcomes Framework -- 5.Utility of Kingdon's Framework: Policymaking in England -- 6.New Zealand: Context and the Performance Programme -- 7.Utility of Kingdon's Framework: Policymaking in New Zealand -- 8.The Two Case Studies Compared -- 9.Conclusion.
Summary
This monograph applies Kingdon's Multiple Streams Framework to two policymaking episodes of implementing pay for performance in general practice, conducted in England and New Zealand. The Framework's explanatory power for policymaking in Westminster majoritarian jurisdictions is tested and, based on rigorous comparative analysis, recommendations are made for its refinement. The monograph also offers striking lessons for policymakers about how to negotiate successfully with general practitioners.