Joining it up? Health and Wellbeing Boards in English Local Governance: Evidence from Clinical Commissioning Groups and Shadow Health and Wellbeing Boards

Coleman, Anna; Checkland, Kath; Segar, Julia; McDermott, Imelda; Harrison, Stephen; Peckham, Stephen

doi:10.1080/03003930.2013.841578

Cited by 26 publications

(43 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite these caveats, however, it seems likely that responsibility for a budget tends to make practitioners think more carefully about their prescribing and referral decisions, and to focus on improving quality of care within their practices, but this does depend upon good relationships with frontline GPs, who need to feel that the commissioning body has legitimacy and that the actions they are being asked to take are reasonable. Peer review by trusted peers seems to be an important mechanism underlying this (Coleman et al, 2009b). This is easier to achieve in smaller schemes, and can be enabled by relatively modest incentive schemes (Checkland et al, 2011).…”

Section: Clinically Led Commissioning: Research Evidencementioning

confidence: 99%

See 1 more Smart Citation

Clinically led commissioning: past, present and future?

Checkland¹,

Coleman²,

McDermott³

et al. 2016

Dismantling the NHS?

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: Clinically Led Commissioning: Research Evidencementioning

confidence: 99%

“…to constrain demand (Mannion 2008;Coleman et al, 2009b). In the next section we explore the evidence about how the various initiatives played out in practice.…”

Section: Clinically Led Commissioning: a Brief Historymentioning

confidence: 99%

Clinically led commissioning: past, present and future?

Checkland¹,

Coleman²,

McDermott³

et al. 2016

Dismantling the NHS?

Self Cite

View full text Add to dashboard Cite

show abstract

“…Again, our own research warned of the danger of 8 partnerships getting bogged down in process and structure and not focusing upon outcomes. As Allen and Rowse (2013:20) argue: 'No amount of structural change or legislation can create the strength of a good working relationship…' Coleman et al (2014) argue that given HWBs' lack of statutory powers, only through developing good local relationships will strategies be realised. They also argue that there is as yet little clarity around the role of HWBs and setting the strategic agenda may prove difficult as other organisations also have their own agendas.…”

Section: Public Health Partnerships -Messages From the Researchmentioning

confidence: 99%

Health and Wellbeing Boards: a new dawn for public health partnerships?

Perkins

Hunter

2014

Journal of Integrated Care

View full text Add to dashboard Cite

The full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details.

show abstract

“…Health and Well-being Boards may formally ratify joint health and social care plans but there are indications that this is not necessarily where power lies or where major decisions are made. 14 The result is a situation where "authority is diffuse and ill-defined because of the complexity of spatial patterning, functional overlays between jurisdictions, variable density of political spaces, and differential coupling between organizations." 8 This may have consequences for local Healthwatch's ability to exert influence, as well as for local people's ability to hold decision-makers to account.…”

Section: Jurisdictional Integritymentioning

confidence: 99%

“…1,13 The seat granted to Healthwatch at Health and Well-being Boards implies they might have sway, but others have suggested that the influence of Health and Well-being Boards on commissioning decisions will be weak. 7,14 Moreover, Healthwatch is not the only organisation with responsibility for PPI: NHS organisations are still required to undertake their own PPI activities, and may or may not choose to draw on the services of Healthwatch in delivering these, while general practices are also expected to have their own PPI structures. 15 In addition, the PPI arena is becoming further crowded by a range of independent organisations claiming to offer patients' views on health and social care, often deploying Web 2.0-enabled services to allow people to log their opinions and describe their experience of care, producing TripAdvisorstyle ratings.…”

Section: Introductionmentioning

confidence: 99%

Challenges Facing Healthwatch, a New Consumer Champion in England

Carter

Martin

2016

Int J Health Policy Manag

View full text Add to dashboard Cite

This article engages with debates about the conceptualisation and practical challenges of patient and public involvement (PPI) in health and social care services. Policy in this area in England has shifted numerous times but increasingly a consumerist discourse seems to override more democratic ideas concerning the relationship between citizens and public services. Recent policy change in England has seen the creation of new consumer champion bodies in the form of local Healthwatch. The article describes these new organisational structures for PPI and shows how those who seek to influence planning and delivery of services or comment or complain about aspects of their care face considerable complexity. This is due, in part, to the ambiguous remit set out for newly instigated Healthwatch organisations by government. Drawing on governance theory, we show that it can also be understood as a function of an increasingly polycentric governance arena. Challenges that flow from this include problems of specifying jurisdictional responsibility, accountability, and legitimacy. We review Healthwatch progress to date, then we set out four challenges facing local Healthwatch organisations before discussing the implications of these for patients and the public. The first challenge relates to non-coterminous boundaries and jurisdictional integrity. Secondly, establishing the unique features of Healthwatch is problematic in the crowded PPI arena. The third challenge arises from limited resources as well as the fact that resources flow to Healthwatch from the local authorities that Healthwatch are expected to hold to account. The fourth challenge we identify is how local Healthwatch organisations negotiate the complexity of being a partner to statutory and other organisations, while at the same time being expected to champion local people's views.

show abstract

Joining it up? Health and Wellbeing Boards in English Local Governance: Evidence from Clinical Commissioning Groups and Shadow Health and Wellbeing Boards

Cited by 26 publications

References 9 publications

Clinically led commissioning: past, present and future?

Clinically led commissioning: past, present and future?

Health and Wellbeing Boards: a new dawn for public health partnerships?

Challenges Facing Healthwatch, a New Consumer Champion in England

Contact Info

Product

Resources

About