This project will produce empirical research on the use of contractual mechanisms in commissioning. It will investigate how commissioners negotiate, specify, monitor and manage contractual mechanisms. It aims to understand which practices produce the best services in their local health economy. The project will look at both acute services and community healthcare.
The project is exploring the different formal provisions in contracts – including the imposition of penalties and incentives – for promoting quality of care across the NHS in England. It looks at how, in practice, contractual penalties and incentives are negotiated, specified and enforced.
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