Implementing World Class Commissioning Competencies

McCafferty, Sara, Williams, Iestyn, Hunter, David, Robinson, Suzanne, Donaldson, Cam and Bate, Angela (2012) Implementing World Class Commissioning Competencies. Journal of Health Services Research & Policy, 17 (1_supp). pp. 40-48. ISSN 1355-8196

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BACKGROUND: The world class commissioning (WCC) programme was introduced in the English NHS in 2007 to develop primary care trust (PCT) commissioning of health services. There has been limited evaluation of health commissioning initiatives over the years and in particular little is known about how commissioners interpret and implement initiatives and guidance intended to strengthen commissioning. This research explores the development and implementation of WCC and draws implications for future commissioning arrangements.

METHODS: This research draws on interviews with key informants (n = 6) and a literature review to analyse the aims of, and stimulus for, WCC. In-depth interviews (n = 38) were conducted in three PCTs in the north of England in 2009 to analyse the interpretation and implementation of WCC.

RESULTS: The aims and rationale of WCC, in particular, the specification of commissioning skills and the aspirations to improve health outcomes, were largely welcomed and supported by interviewees. However, the implementation of WCC posed a number of challenges, including: availability of resources and knowledge; lack of a supportive organizational culture and networks; and the dominance of central government control.

CONCLUSIONS: The findings have implications for emerging clinical commissioning groups (CCGs) in the English NHS. Specifically, the research highlights the need for a system-wide approach to improving commissioning, including appropriately aligned policy and objectives underpinned by a co-ordinated and supportive organizational culture.

Item Type: Article
Uncontrolled Keywords: England, Health Policy, Health Services Research, Humans, Organizational Culture, Primary Health Care, Professional Competence, Program Development, Program Evaluation, Qualitative Research, State Medicine
Subjects: B900 Others in Subjects allied to Medicine
L400 Social Policy
N200 Management studies
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Paul Burns
Date Deposited: 02 Mar 2018 16:41
Last Modified: 11 Oct 2019 21:46

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