This timely book is the most comprehensive account yet of recent commissioning practice in the English NHS and its impact on health services and the healthcare system.
Drawing on eight years of research, expert researchers in the field analyse crucial aspects of commissioning, including competition and cooperation, the development of Clinical Commissioning Groups and contractual mechanisms. They also consider the influence of recent commissioning reforms on public health infrastructure.
For academics and policy makers in health services research and policy, this is a valuable collection of evidence that deepens understanding of how commissioning works.
“Commissioning has been a cornerstone of the NHS since the early 1990s but is now being challenged. This important book charts its history and impact. As the NHS embarks on further major change, its findings deserve to be heeded." David J Hunter, Newcastle University
“This collection of findings from recent studies of how NHS Clinical Commissioning Groups have been working shows what this part of recent English health policy has meant in practice.” Rod Sheaff, University of Plymouth
Pauline Allen is Professor of Health Services Organisation in the Department of Health Services Research and Policy at the London School of Hygiene and Tropical Medicine and co-deputy director of PRUComm.
Kath Checkland is Professor of Health Policy and Primary Care in the Centre for Primary Care at the University of Manchester and co-deputy director of PRUComm.
Valerie Moran is a Postdoctoral Fellow in the Department of Population Health of the Luxembourg Institute of Health and a Researcher in the Living Conditions department of the Luxembourg Institute of Socio-Economic Research.
Stephen Peckham is Director of the Centre for Health Services Studies (CHSS) at the University of Kent and Professor of Health Policy at CHSS and the Department of Health Services Research and Policy at the London School of Hygiene and Tropical Medicine. He is also the Director of PRUComm.
Introduction ~ Pauline Allen, Kath Checkland, Stephen Peckham, Marie Sanderson and Valerie Moran
Context: commissioning in the English NHS ~ Imelda McDermott, Pauline Allen, Valerie Moran, Anna Coleman, Kath Checkland and Stephen Peckham
The development and early operation of Clinical Commissioning Groups (CCGs) ~ Anna Coleman, Imelda McDermott, Lynsey Warwick-Giles and Kath Checkland
Clinical engagement in commissioning: past and present ~ Kath Checkland, Anna Coleman, Imelda McDermott, Rosalind Miller, Stephen Peckham, Julia Segar, Stephen Harrison, Neil Perkins
Commissioning primary care services: concepts and practice ~ Imelda McDermott, Kath Checkland, Anna Coleman, Lynsey Warwick-Giles, Stephen Peckham, Donna Bramwell, Valerie Moran and Oz Gore
Commissioning of healthcare through competitive and cooperative mechanisms under the HSCA 2012 ~ Dorota Osipovic, Pauline Allen, Elizabeth Shepherd, Christina Petsoulas, Anna Coleman, Neil Perkins, Lorraine Williams and Marie Sanderson
Healthcare contracts and the allocation of financial risk ~ Pauline Allen, Marie Sanderson, Christina Petsoulas and Ben Ritchie
The changing public health system: an examination of the new commissioning infrastructure ~ Stephen Peckham, Anna Coleman, Erica Gadsby, Julia Segar, Neil Perkins and Donna Bramwell
Conclusion ~ Pauline Allen, Kath Checkland, Stephen Peckham and Valerie Moran