Author Archives: imelda.mcdermott@manchester.ac.uk

Understanding the new commissioning system in England: contexts, mechanisms and outcomes

Healthcare commissioning is the process by which population needs are assessed, and appropriate health care is purchased to meet those needs from organisations providing care. Introduced in the NHS in 1990, this separation between the roles of planning and purchasing care on … Continue reading

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Investigating recent developments in the commissioning system

The Health and Social Care Act 2012 (HSCA 2012) introduced major changes into the commissioning system for the English NHS in 2013. Primary Care Trusts (PCTs) were replaced with Clinical Commissioning Groups, clinically-led statutory bodies responsible for the planning and commissioning of … Continue reading

Ideal size of commissioning organisation – briefing note

Research evidence note prepared by Prof Kath Checkland, Policy Research Unit in Commissioning and the Health Care System, University of Manchester, Feb 2017, updated Oct 2018 *protected email* Disclaimer: this note is a brief summary of relevant evidence, prepared in … Continue reading

Impact of removing indicators from the Quality and Outcomes Framework (QOF)

NHS England are currently conducting a review of the Quality and Outcomes Framework (QOF). One of the key areas for investigation is the potential impact of removing the incentives on the quality of care delivered in general practice. There is little evidence … Continue reading

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Numbers of GPs who want out within 5 years at all-time high, finds survey

The number of GPs who say they are likely to quit direct patient care within five years rose to 39% in 2017 from 35% in 2015, according to a new survey carried out by University of Manchester researchers. The figure rose … Continue reading

Understanding Primary Care Co-Commissioning: Uptake, Development, and Impacts. Final report (March 2018)

The Health and Social Care Act 2012 gave the power and responsibility for commissioning health services and budgets to groups of GP practices called Clinical Commissioning Groups (CCGs). CCGs will commission the great majority of NHS services for their patients … Continue reading

Planning and managing primary care services: lessons from the NHS in England

It is generally agreed that access to high-quality primary care is vital in the quest to provide the best possible health care at the lowest cost. Finding new ways to deliver and extend access to primary care services is of high priority in many … Continue reading

PRUComm Annual Research Seminar

Since the establishment of PRUComm in 2011 our research has focused on examining how the changes to the English NHS and public health system have developed. We continue to examine the development of CCGs and the new commissioning structures. We … Continue reading

Next Steps in Commissioning through Competition and Cooperation (2016-2017)

In 2016 we reported our research on NHS commissioners’ and providers’ understandings and use the rules on competition, and our investigation of how commissioners used competitive and cooperative commissioning mechanisms at local level from 2013 to 2015. Since 2015, when the last … Continue reading

Primary care co-commissioning: challenges faced by clinical commissioning groups in England

The English Health and Social Care Act 2012 gave GP-led clinical commissioning groups (CCGs) responsibility for commissioning the majority of healthcare services for their registered population. However, responsibility for commissioning primary care services was given to a new national body, … Continue reading

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