This dissertation is about the in/stability over time of a contract-based inter-organizational relationship (IOR) which existed mostly under conditions of government monopsony (MG). The MG consisted of the institutional arrangements between the NHS and Higher Education sectors in England for the provision of education for the NHS non-medical professional workforce. The IOR was between the NHS education buyer (the ‘GM’) and Middlesex University (MU). An agent-centred historical institutionalism was used as the overall approach in the inquiry. The main components of the approach were resource dependence theory, concepts of historical dependence, and events in the IOR and its institutional and organizational environments. A multi-dimensional concept of IOR in/stability from the standpoints of the GM and MU which was grounded in the practices of the IOR was constructed. The inquiry traced the origins and subsequent development of the MG and the in/stability of the IOR over an 18 year period, 1995 - 2013. The main findings of the inquiry were: (1) The IOR originated in, and continued to exist mostly under conditions of MG (2) The IOR became less stable over time from the standpoint of MU; reductions in IOR stability occurred in dimensions of risk relating to the future performance of the IOR (3) Instability and threatened instability in the IOR were brought about mostly by the exercise of power by the GM and by the power dependence responses of MU. The thesis developed in the dissertation is that instability and threatened instability in the IOR were due mostly to a power imbalance in the IOR, in favour of the GM, between the GM and MU. The source of that power imbalance was a combination of: • The resource dependency of MU on the IOR • The conditions of MG and bilateral monopoly under which the IOR existed. The dissertation is concluded with a critique of MG as a technique for public sector management. Recommendations are made for new NHS-HE inter-sector and IOR arrangements to be established which take account of power imbalances and relations of mutual dependence between stakeholders. Recommendations for further research are also made.

Cette thèse explore la dimension géographique des disparités entre les sexes dans le marché du travail. Les questions étudiées incluent la variation de la prime salariale urbaine entre les sexes (chapitre deux), l'exploration des différents mécanismes derrière les effets importants de la localisation géographique sur les gains du marché du travail des femmes (chapitre trois), et de l'écart entre les sexes sur les rendements d'expérience urbains (chapitre quatre). Le deuxième chapitre entreprend une analyse transversale à l'aide de données françaises pour estimer la prime salariale urbaine et sa variation entre les sexes. Les résultats confirment l'existence d'une prime salariale urbaine nettement supérieure pour les femmes. Un doublement de la densité de l'emploi dans une zone donnée entraîne une réduction de 2,4 pourcent de l'écart salarial entre les sexes, une valeur qui augmente de 4 pourcent lorsqu'on exclut la catégorie professionnelle des ouvriers. Contrairement au reste des professions, l'effet de la densité favorise les hommes dans la catégorie des ouvriers. Le troisième chapitre cherche à trouver les mécanismes à l'origine de l'effet importante de la localisation géographique sur les gains du marché du travail pour les femmes en employant l'approche par l'estimateur « within ». Les résultats suggèrent que la moitié de la prime salariale urbaine est attribuée sur la base d'un tri des travailleurs selon le type de compétences à travers des différentes zones. Cependant, en complément du tri de compétences, d'autres hétérogénéités individuelles contribuent également à l'excès de la prime salariale urbaine pour les femmes. / This dissertation explores the geographical dimension of the gender gaps in the labor market. The investigated issues include the variation of urban wage premium across genders (chapter two), exploration of different mechanisms behind stronger location effects for females' labor market gains (chapter three), and the gender gap in the urban returns to experience (chapter four). The second chapter undertakes a cross-sectional analysis by using French data to estimate the urban wage premium and its variation across genders. The findings confirm the existence of an urban wage premium that is significantly higher for women. A twofold increase in employment density of an area results in a 2.4 percent reduction in the gender wage gap, which increases to 4 percent when we exclude manual workers occupational category. Contrary to the rest of the occupations, the density effect favors men in the manual workers category. The third chapter seeks to find the mechanisms behind the stronger location effects on labor market gains for women by employing the within estimate approach. Results suggest that half of the urban wage premium is contributed by the sorting of workers according to skill type across different areas. However, in addition to skill sorting other individual heterogeneities also contribute to the excess urban wage premium for females. Firm level agglomeration effects attribute a minor part to the excess urban wage premium for females. The left over premium is a result of pure urban effects (lower discrimination, better matching, urban amenities).