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Different policies, Different attitudes?

This study investigates the marked differences in public service provision approaches between England, Scotland, and Wales, focusing on choice, diversity, and co-payment. Using data from 2007 surveys, including the British and Scottish Social Attitudes surveys, it explores whether these policy divergences stem from public attitudes or are influenced by the political landscape created by devolution. The analysis reveals that while Wales and Scotland may lean left, the differences in policies are more pronounced than in public attitudes and are driven by party competition and devolution dynamics.

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Different policies, Different attitudes?

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  1. Different policies, Different attitudes? John Curtice Strathclyde University/NatCen

  2. Key Question • Marked difference in approach to public service provision between England and Wales/Scotland. • Choice/diversity of provision • Co-Payment • Does difference reflect differences in public attitudes? • Or is difference created by devolution?

  3. Evidence • Surveys of public opinion in all four parts of the UK in 2007 • British Social Attitudes (2,022; 1,735 in E) • Scottish Social Attitudes (1,508) • Northern Ireland Life & Times (1,179) • Special Welsh survey (884)

  4. A Common Presumption • Wales/Scotland more left-wing than England. • So less likely to favour private provision, co-payment and, perhaps, choice. • But do attitudes fit a left-right framework?

  5. The arguments - 1 • Choice • Exercised more effectively by middle class • Promoting it means working class choose too • Diversity • Private profit at taxpayers’ expense • Essential if choice to be effective

  6. The arguments - 2 • Co-Payment • Ensure nobody denied service because of inability to pay • Free service is subsidy to the middle class • Do contradictory arguments mean politics matters?

  7. Choice of Hospital

  8. Choice of School

  9. Private companies run state schools?

  10. Private companies run NHS hospitals?

  11. Private companies provide personal care?

  12. Choice and Markets?

  13. Left/Right and Choice

  14. Left/Right and Private Provision

  15. Average Left/Right Score

  16. Hospital Choice, L/R and Country

  17. Private Hospitals, L/R and Country

  18. Different Competition - Private Cos run Hospitals

  19. Different Competition - Private Cos run Schools

  20. Attitudes to Co-Payment - 1

  21. Attitudes to Co-Payment - 2

  22. Left/Right and Co-Pay - 1

  23. Left/Right and Co-Pay - 2

  24. Different Competition - Prescription Charges

  25. Different Competition - Tuition Fees

  26. Conclusion • Differences of attitude generally less than differences of policy • Such differences as exist not a result of more ‘left-wing’ values in Wales/Scotland • Attitudes not structured as often assumed • Differences of policy do reflect differences in party competition - generated by devolution

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