Governing body nurses’ experiences of clinical commissioning groups: an observational study of two clinical commissioning groups in England

Leadership of healthcare commissioning networks in England: a mixed-methods study on clinical commissioning groups

OBJECTIVE To explore the relational challenges for general practitioner (GP) leaders setting up new network-centric commissioning organisations in the recent health policy reform in England, we use innovation network theory to identify key network leadership practices that facilitate healthcare innovation. DESIGN Mixed-method, multisite and case study research. SETTING Six clinical commissi...

How are clinical commissioning groups managing conflicts of interest under primary care co-commissioning in England? A qualitative analysis

OBJECTIVES From April 2015, NHS England (NHSE) started to devolve responsibility for commissioning primary care services to clinical commissioning groups (CCGs). The aim of this paper is to explore how CCGs are managing potential conflicts of interest associated with groups of GPs commissioning themselves or their practices to provide services. DESIGN We carried out two telephone surveys usin...

Primary care-led commissioning: applying lessons from the past to the early development of clinical commissioning groups in England.

BACKGROUND The current reorganisation of the English NHS is one of the most comprehensive ever seen. This study reports early evidence from the development of clinical commissioning groups (CCGs), a key element in the new structures. AIM To explore the development of CCGs in the context of what is known from previous studies of GP involvement in commissioning. DESIGN AND SETTING Case study ...

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 identified the programme theories underlying the claims made about GP 'added value' in commissioning from i...

Clinical commissioning groups: Supporting improvement in general practice?