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| Discourses of joint commissioning | | Author(s) | Ailsa Cameron, Emer Brangan, John Gabbay |
| Journal title | Health and Social Care in the Community, vol 26, no 1, January 2018 |
| Publisher | Wiley, January 2018 |
| Pages | pp 65-71 |
| Source | http://wileyonlinelibrary.com/journal/hsc |
| Keywords | Health services ; Services ; Interaction [welfare services] ; Coordination ; Efficiency ; Evaluation ; England. |
| Annotation | Increasing attention has been focused on the role of joint commissioning in health and social care policy and practice in England. This paper provides an empirical examination of the three discourses of joint commissioning developed from an interpretative analysis of documents by Dickinson et al (Making sense of joint commissioning: three discourses of prevention, empowerment and efficiency, 2013; BMC Health Services Research, 13) and applied to data from the authors' study exploring the role of knowledge in commissioning in England. Based on interviews with 92 participants undertaken between 2011 and 2013, their analysis confirms that the three discourses of prevention or empowerment or efficiency are used by professionals from across health and social care organisations to frame their experiences of joint commissioning. However, contrary to Dickinson et al, the authors also demonstrate that commissioners and other stakeholders combine and trade off these different discourses in unexpected ways. Moreover, at sites where the service user experience was central to the commissioning process (joint commissioning as empowerment), a greater sense of agreement about commissioning decisions appeared to have been established, even when the other discourses were also in play. (RH). |
| Accession Number | CPA-180112202 A |
| Classmark | L: I: QK6: QAJ: 5HA: 4C: 82 |
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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