Commissioning healthcare in England : evidence, policy and practice /

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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.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Allen, Pauline (Editor ), Checkland, Kath (Editor ), Moran, Valerie (Editor ), Peckham, Stephen (Editor )
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Bristol : Policy Press, 2020.
Temas:
Health services administration > England.
Health planning > England.
Primary Health Care > organization & administration
Health Planning > organization & administration
State Medicine > organization & administration
Services de santé > Administration > Angleterre.
Santé publique > Planification > Angleterre.
MEDICAL / Health Policy.
Health planning
Health services administration
United Kingdom
England
Electronic books.
e-books.
Livres numériques.
Acceso en línea:Texto completo
Tabla de Contenidos:
  • 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

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