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Dismantling the NHS?Evaluating the Impact of Health Reforms$
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Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to Policy Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

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Clinically led commissioning: past, present and future?

Clinically led commissioning: past, present and future?

Chapter:
(p.149) Eight Clinically led commissioning: past, present and future?
Source:
Dismantling the NHS?
Author(s):

Kath Checkland

Anna Coleman

Imelda McDermott

Stephen Peckham

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0008

One of the key elements of the Health and Social Care Act 2010 (HSCA 2012) was the transfer of responsibility for commissioning healthcare services from managerially led Primary Care Trusts (PCTs) to newly established Clinical Commissioning Groups (CCGs), led by General Practitioners. In this chapter, the authors explore what can be learned from previous attempts to involve GPs in commissioning care. They then apply that learning to the provisions of the HSCA 2012, highlighting the correspondences and discontinuities between what is known from history and what was proposed. They then present evidence from their research on CCGs, exploring what happened in practice when CCGs were established. Finally, the authors discuss the continuing evolution of health policy in the UK in the light of both historical evidence and their current findings.

Keywords:   Health and Social Care Act 2010, commissioning, health care services, Primary Care Trusts, Clinical Commissioning Groups, health policy

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