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Thinking differently about commissioning: learning from new approaches to local planning
Thinking differently about commissioning: learning from new approaches to local planning
- Collection:
- Health Policy and Services Research
- Author(s):
- Robertson, Ruth, author
Ewbank, Leo, author - Contributor(s):
- King's Fund (London, England), issuing body.
- Publication:
- London, England : The King's Fund, February 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Planning
Local Government
National Health Programs
United Kingdom - Genre(s):
- Technical Report
- Abstract:
- NHS commissioning was created almost 30 years ago. Planning and provision of services was split into separate organisations to create an internal market so that competition and market incentives could be used to promote efficiency and improve quality. However, over the past five years, there has been shift from competition to collaboration to improve the health system, but how does this affect commissioning processes? This report seeks to understand how collaborative commissioning approaches are evolving by exploring the experiences of three case study sites: South Tyneside; Tameside and Glossop; and Bradford district and Craven. The authors draw out learning for other areas and explore the national policy implications of this new way of working and what national NHS bodies can do to support its development. Key findings include: (1) the collaborative models emerging in the case study sites have developed to serve footprints that are approximately co-terminous with local authorities. Strong place-based planning functions should be retained in the future; (2) new ways of working together can be enhanced by developing a sense of shared values across commissioner and provider organisations from the outset; (3) implementing more relational planning approaches requires different behaviours from staff and involves navigating uncertainty. For some staff this can be challenging, so there is a need to invest in organisational development. If these approaches are to reach their full potential national NHS bodies have a key supporting role to play. This will have implications for integrated care systems as they expand to cover the whole of England, how NHS England and NHS Improvement's regional teams operate, and wider ways of working among NHS national bodies.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (99 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101769603 (See catalog record)
- ISBN:
- 9781909029965
- Permanent Link:
- http://resource.nlm.nih.gov/101769603