Area of work:

Around 15 million people in England have at least one long term condition, and their numbers are expected to rise. Our researchers are taking an action research approach to explore how NHS commissioning can improve care for those people living with long-term conditions.

Working closely with three study sites in Somerset, Wirral and Calderdale over a two-year period, our researchers are focusing on the commissioning of care for people with diabetes and one other condition selected as being of particular interest to local commissioners.

Our researchers are examining the organisation and processes of commissioning (such as needs assessment, service planning and specification, design of incentives and performance management) and other influences that are known to shape success. They are interested in the ‘nitty-gritty’ of commissioning processes, and in the relationships between the key players.

This study is taking an action research approach to explore how NHS commissioning can improve care for people with long-term conditions

The study takes an action research approach, with the researchers working alongside three ‘commissioning communities’ (primary care trusts, GP commissioners and other local partner organisations) with a known track record of undertaking competent and innovative commissioning work. 

As an integral part of the study, the research team is offering advice and support to members of these commissioning communities, with the aim of helping them to develop and improve their commissioning practices. This support is focused on particular issues identified during the initial immersion stage of the research.

The project is funded by the National Institute for Health Research Service Delivery and Organisation (SDO) Programme (project number 08/1806/264) and is due to report in 2012.

The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the NIHR SDO programme or the Department of Health.

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