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Commissioning Healthcare in EnglandEvidence, Policy and Practice$
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Pauline Allen, Kath Checkland, Valerie Moran, and Stephen Peckham

Print publication date: 2020

Print ISBN-13: 9781447346111

Published to Policy Press Scholarship Online: September 2020

DOI: 10.1332/policypress/9781447346111.001.0001

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PRINTED FROM POLICY PRESS SCHOLARSHIP ONLINE (www.policypress.universitypressscholarship.com). (c) Copyright Policy Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in PPSO for personal use.date: 13 April 2021

Commissioning of healthcare through competitive and cooperative mechanisms under the HSCA 2012

Commissioning of healthcare through competitive and cooperative mechanisms under the HSCA 2012

Chapter:
(p.83) 6 Commissioning of healthcare through competitive and cooperative mechanisms under the HSCA 2012
Source:
Commissioning Healthcare in England
Author(s):

Dorota Osipovic

Pauline Allen

Elizabeth Shepherd

Christina Petsoulas

Anna Coleman

Neil Perkins

Lorraine Williams

Marie Sanderson

Publisher:
Policy Press
DOI:10.1332/policypress/9781447346111.003.0006

Chapter 6 reports a longitudinal study of commissioners’ (and providers’) use of competition and cooperation. This chapter reports research which aimed to investigate how commissioners in local health systems managed the interplay of competition and cooperation in their local health economies, looking at acute, mental health and community health services. The understanding of the regulatory context of the NHS market by both commissioners and providers of care was unclear. There were differences between local areas in terms of the volume and mode of using competition as a commissioning mechanism, with some having more enthusiasm for and experience in running competitive procurements than others. Commissioners noted that the procurement process was very resource intensive. By 2018 there was a marked decline in the appetite to use competition, especially for large scale service reconfigurations. Collaborative planning involving key local providers was a preferred way for CCG commissioners to approach large commissioning tasks.

Keywords:   Competition, Cooperation, Procurement, Commissioning, Regulatory

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