<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...

Purpose – The purpose of this paper is to examine the motivations behind public sector spin outs, focusing on the Right to Request policy, which enabled NHS staff to set up their own social enterprises to deliver healthcare services. Design/methodology/approach – The paper draws on empirical...

Purpose – The purpose of this paper is to explore recent healthcare reform in China. Reflecting on the current literature, the viewpoint argues that greater attention should be paid to healthcare reform in China as a public policy process, particularly one that is built on policy...