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Managing the Internal Market inquires into the management and operation of the key institutions of the NHS internal market in acute services, now in its fourth year of commissioning. It addresses the complexity and importance of 'managed competition' by offering both broad accounts by leading academics and chapters by practitioners - purchasers, providers, managers, doctors and nurses - two worlds not frequently brought together in a single volume. Only by listening to these different voices, with their particular interests and ways of viewing the internal market, will an adequate understanding begin to emerge.