Public Policy: Using Market-Based Approaches - Department for ...
Public Policy: Using Market-Based Approaches - Department for ...
Public Policy: Using Market-Based Approaches - Department for ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>Public</strong> <strong>Policy</strong>: <strong>Using</strong> <strong>Market</strong>-<strong>Based</strong> <strong>Approaches</strong><br />
Capacity constraints can also influence outcomes through the demand-side of<br />
the market. Customers who are unable to exercise their right to choice due to the<br />
existence of capacity constraints may become despondent and consider the<br />
allocation process unfair. This will lead to reductions in customer satisfaction,<br />
and may reduce policy per<strong>for</strong>mance against other measures if, <strong>for</strong> example, it<br />
leads to customers disengaging from the processes concerned and ceasing to<br />
participate effectively.<br />
The underlying problem here is that supply does not expand to match increasing<br />
demand, as we would expect to happen in private-sector markets. To address<br />
this problem there would need to be some mechanism to ensure that investment<br />
decisions reflect in<strong>for</strong>mation revealed by the consumer choice ‘market’ rather<br />
than being made in isolation from the scheme.<br />
Inequality of access<br />
Where consumer choice is introduced it may be that certain members of society<br />
(those who are wealthier or better educated) may be better able to exercise their<br />
right to choose. For example, those with better access to transport may find it<br />
easier to use a hospital or school of their choice. Depending on the<br />
circumstances, this may still be a better outcome than when consumers had no<br />
choice – which in the case of education can lead to the better schools being, in<br />
effect, reserved to those who can af<strong>for</strong>d to buy houses near to the most<br />
desirable schools. The problem might be reduced by measures taken to improve<br />
consumers’ ability to choose: the provision of appropriate in<strong>for</strong>mation and<br />
access to transport, <strong>for</strong> example.<br />
Inequality can be distinguished into inequalities of opportunity and outcome<br />
inequality. Inequalities of opportunity include better access to transport links, <strong>for</strong><br />
example, and may give rise to inequalities in outcomes if those with better<br />
opportunities are able to use them to obtain a superior result. Inequalities in<br />
outcomes can arise between individuals or between geographical regions.<br />
Geographical inequality is more likely to occur when mobility is low and users<br />
are effectively locked into their local suppliers. This can allow the market to<br />
develop into sub-sectors of under-per<strong>for</strong>ming suppliers located in<br />
disadvantaged areas and excellent suppliers located in more advantaged areas,<br />
with users in disadvantaged areas unable to exercise their choice by switching<br />
to a better-per<strong>for</strong>ming provider.<br />
Segregation<br />
Introducing user choice can lead to an increase in segregation through both the<br />
supply and demand sides of the market. On the supply side, segregation may<br />
arise as a result of discrimination by providers. This problem is linked to<br />
the capacity constraint problems outlined above and can be limited using<br />
the same controls. On the demand side, increased segregation can occur either<br />
as a direct result of the exercise of choice by individuals of the same<br />
ethnic/working/educational background, or as an indirect result of any increase in<br />
54