Tag Archives: NHS

Interrogating institutional change: Actors’ attitudes to competition and cooperation in commissioning health services in England

Since the beginning of the 1990s the public healthcare system in England has been subject to reforms. This has resulted in a structurally hybrid system of public service with elements of the market. Utilizing a theory of new institutionalism, this … Continue reading

Engaging GPs in commissioning: Realist evaluation of the early experiences of Clinical Commissioning Groups in the English NHS

Objectives To explore the ‘added value’ that general practitioners (GPs) bring to commissioning in the English NHS. We describe the experience of Clinical Commissioning Groups (CCGs) in the context of previous clinically led commissioning policy initiatives. Methods Realist evaluation. We … Continue reading

Commissioning through Competition and Cooperation

Following several versions of the NHS quasi market since 1990, a wide ranging set of reforms was introduced into the NHS under the recent Coalition government by the Health and Social Care Act 2012 (HSCA 2012). The idea behind these … Continue reading

Understanding primary care co-commissioning: Uptake, scope of activity and process of change

The Health and Social Care Act 2012 gave the responsibility for commissioning primary care services to NHS England (NHSE). Part of the rationale for this was to move towards a more standardised model of primary care commissioning. However, it has … Continue reading

Exploring the GP ‘added value’ in commissioning

One of the main focusses of the Health and Social Care Act 2012 (implemented from 2013) was on the development of Clinical Commissioning Groups (CCGs) to replace Primary Care Trusts (PCTs) in commissioning healthcare for their local populations. This report … Continue reading

Research on the changing English National Health Service

Researchers from the School’s Department of Health Services Research and Policy have been undertaking research concerning the restructuring of the English NHS, which started under the previous government and continues under the UK’s current Coalition government.  This is a subject … Continue reading

Too much spin can seriously damage the health of spin-offs

By Nick Mays The recent Department of Health report, ‘Innovation, Health and Wealth’* tells an intriguing story about the potential economic benefits of the NHS. It goes further than rehearsing how it helps to develop a healthy, productive and economically … Continue reading

Posted in Nick Mays | Tagged , , | Comments Off on Too much spin can seriously damage the health of spin-offs