In Efficiency in the Public Sector, Alan Williams and Emilio Giardina have brought together a group of leading analysts who provide a critical assessment of the role of CBA in improving the efficiency of public-sector investment appraisal. Drawing upon European experience over the past 30 years, they trace the evolution of the CBA debate and examine some of the proposed alternatives, including multi-criteria techniques. The theoretical and practical implications of this debate are thoroughly analysed. The book also includes a comparison of public and private sector evaluation techniques case studies from the fields of transport and health care, and consideration of the role of analysts in the public investment decision-making process.