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Centre for Policy on Ageing | |
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How effective is joint commissioning?
— a study of five English localities | | Author(s) | Helen Dickinson, Jon Glasby |
| Journal title | Journal of Integrated Care, vol 21, no 4, 2013 |
| Publisher | Emerald, 2013 |
| Pages | pp 221-232 |
| Source | www.emeraldinsight.com/jica.htm |
| Keywords | Health Authorities and Trusts ; Services ; Community care ; Social Services Departments ; Interaction [welfare services] ; Coordination ; England ; Evaluation. |
| Annotation | This paper reported research undertaken into the practices, processes and outcomes of joint commissioning in five English localities. The study reflected on the implications for the practice of joint commissioning. A case study approach to the research was adopted where assumptions were made about what joint commissioning should deliver in five `best practice' sites. These hypothesised relationships about organisational processes, services and outcomes were then tested through the collection of primary and secondary data. Methods of data collection included an online tool based on Q methodology, documentary analysis, interviews and focus groups. Very little of what was found seemed to relate directly to issues of joint commissioning. Respondents often spoke of joint commissioning conflating it with issues of commissioning or joint working more generally. The study found a variety of different definitions and meanings of joint commissioning in practice suggesting that this is not a coherent model but varies across localities. Little evidence of improved outcomes was found, due to practical and technical difficulties. Joint commissioning is not a coherent model and is applied in different ways across different contexts. As such very different questions about what constitutes joint commissioning may need to be asked. It is important that local sites are clear about what they are trying to deliver through joint commissioning or else risk that it becomes an end in itself. Some of the current reforms taking place in health and social care risk pulling apart existing relationships that have taken significant time and resource to develop. (JL). |
| Accession Number | CPA-130906204 A |
| Classmark | L4A: I: PA: PF: QK6: QAJ: 82: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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