November 2023: Financially Incentivising Quality Improvement Activity in Primary Care - Literature Review

30 November 2023

From Dr Donna Bramwell, Professor Kath Checkland, Professor Lindsay Forbes, Dr Sarah Partridge, Professor Stephen Peckham, and Dr Sharon Spooner. We reviewed the international published literature on processes and outcomes of financial incentivisation of QI activity in primary care.

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August 2023: User research into referrals to expert work and health services: Final Report of Phase 2 research

19 October 2023

This report summarises the Phase 2 findings of a short, qualitative study commissioned by the DHSC and delivered through the NIHR Policy and Research Unit in Health and Social Care Systems and Commissioning on behalf of the DWP and DHSC Joint Work and Health Directorate to explore: What are the user needs of GPs from publicly available work and health services for workers (employees and the self-employed)? 

See the full report>

Community Nursing Services in England

5 January 2023

An Historical Policy Analysis. By Donna Bramwell, Kath Checkland, Jolanta Shields and Pauline Allen.

This book provides a historical account of the ways in which community nursing services have been shaped by policy changes; offers an important assessment of how community nursing has evolved under successive governments; and considers how lessons learnt from the past can inform the organisation of current community nursing services.

Available now:

PRUComm Research Review 2021/22

21 October 2022

This review covers the work of the Policy Research Unit in Health and Social Care Systems and Commissioning during 2021 and 2022 - the research outlined here builds on our work from the past three years.

Download the full report: PRUComm Research Report 2021-22 (FINAL).pdf

Integrated Care Systems final report published

2 September 2022


The aim of our research was to investigate the development of Integrated Care Systems (ICSs) in order to find out how effective these new forms of collaboration are in achieving their goals, and what factors influence this. The research investigated how ICSs were developing locally, the way system partners were reconciling organisational and system roles, how collaborations and providers could be held to account, the way local priorities were being reconciled with system priorities, and whether ICSs are able to allocate resources more efficiently across sectoral boundaries and bring their local health economies into financial balance.

Our research was conducted in two phases and used qualitative methods with a small quantitative component. Primarily, we used a case study research design, consisting of three in-depth case studies, each consisting of a system and its partners. The first phase of fieldwork was undertaken between December 2019 and March 2020 and focused on studying ICSs (and their predecessor STPs). Fieldwork was interrupted in March 2020 by the COVID-19 pandemic. The second phase of fieldwork took place between January 2021 and September 2021 and focused on a more detailed examination of one place within each of our case studies.

Our research suggests that the move to a more collaborative ethos has been welcomed, and system partners widely support the development of system working, and the opportunities for improved planning and provision of services which they believed system working offers. Local actors felt that collaboration in systems led to improvements to service planning and delivery in ways that did not occur previously. However, our findings also suggest that there are a number of key themes which need to be considered in relation to the capacity of systems to achieve their aims, including bringing their local health economies into financial balance. These are: the ongoing influence of competition; the importance of context; clarity of governance arrangements; limits of the consensual model of decision making; the development of accountability; and management of conflicts of interest.

Download full report: The Developing Architecture of System Management: Integrated Care Systems and Sustainability and Transformation Partnerships.

Eleventh National GP Worklife Survey 2021

13 April 2022

Telephone survey two - short report: PCNs and COVID-19

13 December 2021

Short report of a telephone survey (August - December 2020) with Clinical Commissioning Group respondents regarding Primary Care Networks' response to Covid-19.

PRUComm PCN - Telephone Survey Two_PCNs and Covid-19.pdf

November 2021: Health and Care Bill 2021 briefing - General Practice commissioning

29 November 2021

November 2021: Measuring unmet health and care needs among older people using existing data

25 November 2021

A new brief on measuring unmet health and care needs among older people using existing data

BRIEF: Measuring unmet health and care needs among older people using existing data

November 2021: Research note exploring the potential role of provider collaboratives

25 November 2021

Recent policy developments, including the Health and Care Bill 2021, suggest that provider collaboratives will be an important part of the collaborative landscape, alongside ICSs, place based partnerships and primary care networks.
Read our research note exploring the potential role of provider collaboratives here >>