1. All ministers or governments only have the time to pay
attention to a small number of issues for which they are responsible. So, they
may try to impose new policies in some areas but leave most untouched.
2. Ministers delegate responsibility for most policymaking
to civil servants, who engage in the sort of consultation that some ministers
reject.
The article then shows how this process worked in UK health
policy, identifying a top-down internalised process (led by Thatcher) to reform
healthcare, followed by a much wider process of policy formulation in the
Department of Health under Kenneth Clarke and much greater consultation under
his successor William Waldegrave. It suggests that internalisation tends to
fail because policymakers need information from (often a wide range of) groups,
while policy imposition may only go so far before bruiser-style ministers leave
their posts to be replaced by ambassadorial figures who take a more
conciliatory approach to the longer process of policy implementation. This is
not to say that policy does not change (it often changes radically) but that we
should not exaggerate the overall effect of any government. In this regard, the
Thatcherite reputation is based partly on a myth that cannot be sustained
logically.
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