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

Completed projects

Contracting in commissioning
Contracting in commissioning

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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The project seeks to identify the effects of the use (or non-use) of such contractual mechanisms on the delivery of health services.

Study of the use of contractual mechanisms in commissioning

This three year project aimed to investigate how commissioners negotiated, specified, monitored and managed contractual mechanisms to improve services and allocate financial risk in their local health economies, looking at both acute services and community health care.

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The interim report presents findings from a research into how commissioners negotiate, specify, monitor and manage contractual mechanisms to improve services and allocate financial risk in their local health economies, looking at both acute services and community health care.

Download interim report [pdf] >>