The Vexed Question of Market Stewardship in the Public
Sector: Examining Equity and the Social Contract through
the Australian National Disability Insurance Scheme
Gemma Carey*, Helen Dickinson, Eleanor Malbon and
Daniel Reeders
Centre for Public Service Research, University of New South Wales, Canberra,
Australia
Abstract
Personalized care and market-based approaches to public service provision have gained prominence
in a range of Organisation for Economic Co-operation and Development countries. Australia has
recently joined this trend, launching a complex and expansive programme of individualized care
funding for disability through the National Disability Insurance Scheme. Public sector markets
(i.e. where governments either directly fund a market by way of competitive tendering, or through
personal budgets) have been embraced by actors at different points of the political spectrum and
for a range of reasons, including efficacy and efficiency gains, empowerment of citizens and efforts
to cater for diversity. Despite the growing dominance of public sector markets and individualized
funding, many questions about the role and responsibility of governments in managing and
regulating these markets remain unanswered. In this article we outline different roles governments
might assume in the creation and management of public sector markets, based on the types of risks
governments are willing to take responsibility for. We argue that to fulfil the social contract between
government and citizens, governments need to ensure that markets are properly stewarded and
embedded in broader social safety nets. This, we contend, can ensure citizens receive the gains of
market models while being protected from market failures or market-produced inequities.
Keywords
Public sector markets; Quasi markets; Market regulation; Equity
Introduction
Modern welfare states are in a state of transition (Anttonen 2012 ; Brown et al.
2000 ; Considine et al. 2011 ; LeGrand 2007 ). Faced with a range of fiscal
Author Emails: g.carey@adfa.edu.au; h.dickinson@adfa.edu.au; e.malbon@adfa.edu.au;
d.reeders@adfa.edu.au
SOCIAL POLICY &ADMINISTRATION ISSN 0144-5596
DOI: 10.1111/spol.12321
VOL. ••,NO. ••, •• 2017, PP . ••–••
© 2017 John Wiley & Sons Ltd