NIHR POLICY RESEARCH UNIT IN HEALTH AND
SOCIAL CARE SYSTEMS AND COMMISSIONING

Journal papers

Primary care co-commissioning: challenges faced by clinical commissioning groups in England
8 January 2018
From April 2015, the responsibility for commissioning primary care services was delegated from NHS England to Clinical Commissioning Groups (CCGs). Two years on, how have CCGs responded to their new responsibilities and what challenges do they face?

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Commissioning through competition and cooperation in the English NHS under the Health and Social Care Act 2012: evidence from a qualitative study of four clinical commissioning groups
16 October 2017
We explored how commissioners and providers understand the complex regulatory framework, and how they behave in relation to competition and cooperation.

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Commissioning for health improvement following the 2012 health and social care reforms in England: what has changed?
27 February 2017
The wide-ranging program of reforms brought about by the Health and Social Care Act (2012) in England fundamentally changed the operation of the public health system, moving responsibility for the commissioning and delivery of services from the National Health Service to locally elected councils and a new national public health agency. This paper explores the ways in which the reforms have altered public health commissioning.

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Interrogating institutional change: Actors' attitudes to competition and cooperation in commissioning health services in England
8 July 2016
We interrogate the extent of institutional change in the NHS by examining managers' understanding of the formal rules, normative positions and frameworks for action under the regime of the Health and Social Care Act 2012.

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Engaging GPs in commissioning: Realist evaluation of the early experiences of Clinical Commissioning Groups in the English NHS
7 July 2016
To explore the ‘added value’ that general practitioners (GPs) bring to commissioning in the English NHS. We describe the experience of Clinical Commissioning Groups (CCGs) in the context of previous clinically led commissioning policy initiatives.

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