Reflections on commissioning and the English coalition government NHS reforms

Innovation sustainability in challenging health-care contexts: Embedding clinically led change in routine practice

“…In an NHS characterized by continual reorganization, 25 the two primary care-based cases in particular faced a turbulent organizational environment, in which the populations they covered and the priorities they had to address were subject to ongoing change. In Case B, organizational-boundary changes resulted in a sudden shift in the size, and health needs, of the patient group served—and also a change in management personnel, which together undermined the service's case for sustainability (Table 4).…”

Learning from contract change in primary care dentistry: A qualitative study of stakeholders in the north of England

“…Despite devolution leading to a divergence in the structures of the NHS and social care systems across the four nations of the UK, and a greater resultant focus in each country on more local issues, the term ‘commissioning’ is still used UK-wide. Consequently, the effectiveness of commissioning, the impact of wider NHS reforms and the performance of the NHS across all four UK countries since devolution continue to be the subject of much research, analysis and cross-border learning [4–7] .…”

Changing the Ties That Bind? The Emerging Roles and Identities of General Practitioners and Managers in the New Clinical Commissioning Groups in the English NHS

“…Many of our respondents, both clinicians and managers, jokingly enumerated how many NHS reorganizations they had experienced. Managers in particular have borne the brunt of many of these (Light & Connor, 2011;Macfarlane et al, 2011). They have also been portrayed by politicians and the media as a bloated sector whose numbers need to be cut (Merali, 2005).…”