Commissioning healthcare in England : evidence, policy and practice /

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.

التفاصيل البيبلوغرافية
مؤلفون آخرون: Allen, Pauline (المحرر), Checkland, Kath (المحرر), Moran, Valerie (المحرر), Peckham, Stephen (المحرر)
التنسيق: Licensed eBooks
اللغة:الإنجليزية
منشور في: Bristol : Policy Press 2020.
الوصول للمادة أونلاين:https://www.jstor.org/stable/10.2307/j.ctvz938mt
جدول المحتويات:
  • Front Cover
  • Commissioning Healthcare in England: Evidence, Policy and Practice
  • Copyright information
  • Dedication
  • Table of contents
  • List of figures and tables
  • List of abbreviations
  • Notes on contributors
  • Acknowledgments
  • 1 Introduction
  • Introduction
  • Theoretical bases of the research
  • Structure of the book
  • 2 Context: commissioning in the English NHS
  • Introduction
  • Internal market/purchaser-provider split
  • the origins of 'commissioning'
  • Coalition government
  • HSCA 2012
  • Architecture of commissioning post-HSCA 2012
  • Clinical Commissioning Groups (CCGs)
  • NHS England (NHSE)
  • Public Health England (PHE)
  • Local Authorities (LAs)
  • Public Health
  • Health and Wellbeing Board (HWB)
  • Regulators
  • Monitor
  • Care Quality Commission (CQC)
  • Contracts
  • Developments since the HSCA
  • Five Year Forward View
  • Sustainability and Transformation Plans and Partnerships
  • Accountable and integrated care
  • 3 The development and early operation of Clinical Commissioning Groups (CCGs)
  • Introduction
  • Design and methods
  • Case studies
  • Interviews
  • Results
  • Engagement with members
  • Commissioning activity
  • Conclusion
  • 4 Clinical engagement in commissioning: past and present
  • Introduction
  • The history of GP-led commissioning in the NHS
  • Evidence from the past
  • Evidence about the nature of clinical involvement in the commissioning process
  • Engagement and outcomes
  • Summary
  • GP 'added value' in CCGs
  • Design and methods
  • Programme theories: how do GPs 'add value' to commissioning?
  • Clinical leadership and decision making
  • Theory 1 (GPs' knowledge about patient experiences) and Theory 2 (GPs' knowledge about services)
  • Theory 3 (clinician-to-clinician discussions)
  • Theory 4 (clinician-manager symbiosis)
  • Summary
  • Conclusion
  • 5 Commissioning primary care services: concepts and practice
  • Introduction
  • History of primary care commissioning and financing in England
  • Policy objectives
  • Study design and methods
  • Interviews with senior policy makers
  • CCG application documents
  • Telephone surveys
  • Case studies
  • Programme theory versus the practice of co-commissioning
  • Theory 1
  • Theory 2
  • Results
  • Co-commissioning activity
  • Comparison with Practice-Based Commissioning (PBC)
  • Conflicts of interest
  • Locally based primary care plans versus wider national initiatives
  • Unintended consequences
  • Discussion
  • 6 Commissioning of healthcare through competitive and cooperative mechanisms under the HSCA 2012
  • Introduction
  • Study design and methods
  • Findings
  • Understanding and experience of the regulatory framework under HSCA 2012
  • Changes in understanding of the regulatory framework after the publication of the five year forward view
  • Use and experience of competition and cooperative mechanisms under HSCA 2012