Discourses of joint commissioning

Ailsa Cameron; Emer Brangan; John Gabbay; Jonathan H. Klein; Catherine Pope; Lesley Wye

doi:10.1111/hsc.12462

Discourses of joint commissioning

Ailsa Cameron^*, Emer Brangan, John Gabbay, Jonathan H. Klein, Catherine Pope, Lesley Wye

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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Abstract

Increasing attention has focused on the role of joint commissioning in health and social care policy and practice in England. This paper provides an empirical examination of the three discourses of joint commissioning developed from an interpretative analysis of documents by Dickinson et al. (2013; BMC Health Services Research, 13) and applied to data from our study exploring the role of knowledge in commissioning in England. Based on interviews with 92 participants undertaken between 2011 and 2013, our analysis confirms that the three discourses of prevention or empowerment or efficiency are used by professionals from across health and social care organisations to frame their experiences of joint commissioning. However, contrary to Dickinson et al., we also demonstrate that commissioners and other stakeholders combine and trade off these different discourses in unexpected ways. Moreover, at sites where the service user experience was central to the commissioning process (joint commissioning as empowerment), a greater sense of agreement about commissioning decisions appeared to have been established even when the other discourses were also in play.

Original language	English
Pages (from-to)	65-71
Number of pages	7
Journal	Health and Social Care in the Community
Volume	26
Issue number	1
Early online date	12 Jun 2017
DOIs	https://doi.org/10.1111/hsc.12462
Publication status	Published - Jan 2018

Keywords

efficiency
empowerment
joint commissioning
prevention

Access to Document

10.1111/hsc.12462

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This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Wiley at http://onlinelibrary.wiley.com/doi/10.1111/hsc.12462/abstract. Please refer to any applicable terms of use of the publisher.
Accepted author manuscript, 363 KBLicence: CC BY-NC

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DICE: Promoting Social Inclusion and Equality in Housing with Care and Support for older people
Willis, P. B., Vickery, A. Y., Cameron, A. M., Beach, B., Johnson, E. K., Smith, R. C. & Porteus, J.
14/01/19 → 31/12/21
Project: Research
ERVIC: Role of volunteers in care settings with older adults
Cameron, A. M., Johnson, E. K., Willis, P. B., Smith, R. C. & Lloyd, L. E.
1/10/17 → 30/04/19
Project: Research

File
ECHO: The Provision of Social Care in Extra Care Housing
Cameron, A. M., Smith, R. C., Lloyd, L. E., Johnson, E. K., Evans, S., Atkinson, T., Darton, R. & Porteus, J.
1/10/15 → 30/09/17
Project: Research

File

Professor Ailsa M Cameron
- A.Cameron@bristol.ac.uk
- School for Policy Studies - Professor of Health and Social Care
- Centre for Research in Health and Social Care
Person: Academic , Member

Cite this

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title = "Discourses of joint commissioning",

abstract = "Increasing attention has focused on the role of joint commissioning in health and social care policy and practice in England. This paper provides an empirical examination of the three discourses of joint commissioning developed from an interpretative analysis of documents by Dickinson et al. (2013; BMC Health Services Research, 13) and applied to data from our study exploring the role of knowledge in commissioning in England. Based on interviews with 92 participants undertaken between 2011 and 2013, our analysis confirms that the three discourses of prevention or empowerment or efficiency are used by professionals from across health and social care organisations to frame their experiences of joint commissioning. However, contrary to Dickinson et al., we also demonstrate that commissioners and other stakeholders combine and trade off these different discourses in unexpected ways. Moreover, at sites where the service user experience was central to the commissioning process (joint commissioning as empowerment), a greater sense of agreement about commissioning decisions appeared to have been established even when the other discourses were also in play.",

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Discourses of joint commissioning

Abstract

Keywords

Access to Document

DICE: Promoting Social Inclusion and Equality in Housing with Care and Support for older people

ERVIC: Role of volunteers in care settings with older adults

ECHO: The Provision of Social Care in Extra Care Housing

Professor Ailsa M Cameron

Cite this