Major policy initiatives such as the Quality and Outcomes Framework (QOF) in the national contract for UK general practitioners might variably be informed by evidence at their inception, implementation and subsequent evolution. But what evidence gets admitted into these policy debates—and what...

<title>Abstract</title> <italic>Reform of the health and social care sector is increasingly promoting competition and choice of new service providers to stimulate growth and efficiency. In England, there has been a growing interest in social enterprise organisations as a more innovative and responsive alternative for...</italic>

The ‘right to request’ policy encouraged and supported National Health Service (NHS) community health staff in England to ‘spin out’ services into independent social enterprises. This article considers the processes and outputs of the initiative and reflects on the likelihood of positive...