Commissioning Healthcare in England

2020 ◽  
Keyword(s):  
Financial Risk ◽  
Good Governance ◽  
Local Level ◽  
Policy Research ◽  
National Policy ◽  
Research Programme ◽  
Research Unit ◽  
Regulatory Regime ◽  
Health And Social Care ◽  
Clinical Engagement

This book brings together selected research on commissioning healthcare in the English NHS carried out by national policy research unit in commissioning and the healthcare system (PRUComm) between 2011 and 2018. PRUComm is funded by the English Department of Health’s Policy Research Programme. The bookexplores the changes to commissioning in the English NHS quasi market introduced by the Health and Social Care Act 2012 (HSCA 2012). It focuses on threemain areas: first, the development and operation of the newly formed commissioning bodies named Clinical Commissioning Groups (CCGs) which were supposed to increase clinical engagement; secondly, technical aspects of commissioning being the use of competition and cooperation by CCGs to commission care in the HSCA 2012 regulatory context encouraging competition,and the allocation of financial risk through contracts between commissioners and providers of care (including new forms of contract such as alliances); and thirdly the reorganisation of the commissioning of public health services.The research demonstrates that the HSCA 2012 has had the effect of fragmenting commissioning responsibilities and in the process impaired good governance and strong accountability of commissioners. It shows how the use of market mechanisms has declined despite the pro competition regulatory regime of the HSCA 2012, and that more cooperative processes are used at local level to reconfigure health services. It concludes that strategic planning and monitoring of services will always be essential for the English NHS, whether the term ‘commissioning’ is used to describe these activities or not in the future.

Introduction

2020 ◽  
pp. 1-14
Author(s):  
Pauline Allen ◽  
Kath Checkland ◽  
Stephen Peckham ◽  
Marie Sanderson ◽  
Valerie Moran
Keyword(s):  
Institutional Economics ◽  
Legal Theory ◽  
Policy Research ◽  
National Policy ◽  
Research Programme ◽  
Research Unit ◽  
Department Of Health ◽  
Subsequent Chapter ◽  
Health And Social Care ◽  
English National Health

This chapter introduces PRUComm, the English national policy research unit in commissioning and the healthcare system funded by the Department of Health and Social Care Policy Research Programme and itsresearch programme on that subject. It then discusses the concept of commissioning in respect of healthcare in the English National Health Service. The theoretical basis for the research, being principally realist approaches to policy analysis; socio legal theory and institutional economics is then expounded and related to the research. Each subsequent chapter is then summarised.

scholarly journals Wetlands in Ethiopia: Lessons From 20 years of Research, Policy and Practice

Wetlands ◽  
2021 ◽  
Vol 41 (2) ◽  
Author(s):  
Alan Dixon ◽  
Adrian Wood ◽  
Afework Hailu
Keyword(s):  
Research Policy ◽  
Wetland Management ◽  
Local Level ◽  
National Policy ◽  
Research Programme ◽  
Sub Saharan Africa ◽  
Policy And Practice ◽  
Policy Goals ◽  
Sub Saharan ◽  
Wetland Use

AbstractThroughout sub-Saharan Africa wetlands provide ecosystem services that are critical to the development needs of many people. Local wetland use, however, is often at odds with broader national policy goals in which narratives of conservation and protection dominate, hence a recurring challenge is how to reconcile these tensions through the development of policies and field practice that deliver sustainable development. In this paper we examine the extent to which this challenge has been achieved in Ethiopia, charting the changes in wetlands policy and discourse over the last twenty years while reviewing the contribution of the multidisciplinary Ethiopian Wetlands Research Programme (EWRP) (1997–2000). Our analysis suggests that despite EWRP having a significant legacy in developing national interest in wetlands among research, government and non-governmental organisations, its more holistic social-ecological interpretation of wetland management remains neglected within a policy arena dominated by specific sectoral interests and little recognition of the needs of local people. In exploring the impacts at the local level, recent investigations with communities in Ilu Aba Bora Zone highlight adjustments in wetland use that famers attribute to environmental, economic and social change, but which also evidence the adaptive nature of wetland-based livelihoods.

scholarly journals Introducing the Care Certificate Evaluation: Innovative practice

Dementia ◽  
2017 ◽  
Vol 19 (2) ◽  
pp. 512-517
Author(s):  
Elaine Argyle ◽  
Louise Thomson ◽  
Antony Arthur ◽  
Jill Maben ◽  
Justine Schneider ◽  
...  
Keyword(s):  
Staff Development ◽  
Social Care ◽  
Policy Research ◽  
Research Programme ◽  
Direct Care ◽  
Care Staff ◽  
Care Provision ◽  
Front Line ◽  
Department Of Health ◽  
Health And Social Care

Although investment in staff development is a prerequisite for high-quality and innovative care, the training needs of front line care staff involved in direct care have often been neglected, particularly within dementia care provision. The Care Certificate, which was fully launched in England in April 2015, has aimed to redress this neglect by providing a consistent and transferable approach to the training of the front line health and social care workforce. This article describes the early stages of an 18-month evaluation of the Care Certificate and its implementation funded by the Department of Health Policy Research Programme.

scholarly journals Disaster management strategies and relation of good governance for the coastal Bangladesh

2021 ◽  
Vol 3 (2) ◽  
pp. 269-279
Author(s):  
Prabal Barua ◽  
◽  
Abhijit Mitra ◽  
Saeid Eslamian ◽  
◽  
...  
Keyword(s):  
Disaster Management ◽  
Local Governments ◽  
Local Community ◽  
Good Governance ◽  
Local Level ◽  
Management Strategies ◽  
National Policy ◽  
Successful Implementation ◽  
Community Members ◽  
Management Policies

Although Bangladesh’s immense steps in preparing the disaster management policies following the values of good governance issue, the quantity to which these policies have productively been executing at the local level remnants mostly unknown. The objectives of this investigation were dual: firstly, to inspect the roles and efficiency of the local-level governance and disaster management organization, and lastly, to recognize the obstacles to the execution of national the policies and Disaster-Risk-Reduction guidelines at the local community level. The authors applied qualitative research and case Study approach, using techniques from the Participatory Rural Appraisal toolbox to collect data from local community members as well as government and NGO officials. From the finding of the study, it was revealed that interactive disaster governance, decentralization of disaster management, and compliance by local-level institutions with good governance principles and national policy guidelines can be extremely effective in reducing disaster-loss and damages. According to coastal community members, the local governments have generally failed to uphold good governance principles, and triangulated data confirm that the region at large suffers from rampant corruption, political favoritism, lack of transparency and accountability and minimal inclusion of local inhabitants in decision-making – all of which have severely impeded the successful implementation of national disaster-management policies. This study contributes to these research gaps, with identification of further research agenda in these areas. The paper deals with International Sendai Framework that called for enhancement of local level community resilience to disasters. Thus, it contributes to numerous policy and practice areas relating to good disaster governance. The study identified the specific manifestations of these failures in coastal communities in Bangladesh. These results underscore the vital need to address the wide gap between national DRR goals and the on-the-ground realities of policy implementation to successfully enhance the country’s resilience to climate change-induced disasters.

Finance and Investment: The European Case

2018 ◽  
Keyword(s):  
Sovereign Debt ◽  
Large Body ◽  
Policy Research ◽  
Financial System ◽  
Research Programme ◽  
Policy Formulation ◽  
Contributory Factor ◽  
Data Sets ◽  
Equity Financing ◽  
Body Of Knowledge

This book is the product of a two-year research programme entitled Restarting European Long-Term Investment Finance (RELTIF), organized by Assonime and the Centre for Economic Policy Research (CEPR) in London. The programme brought together leading researchers from across the world to consider the causes of the persistently low level of investment in Europe, to examine the extent to which the financial system was a contributory factor and to identify possible policy remedies for it. It considered the relation of finance to corporate sector investment, the lending behaviour of banks, the provision of equity financing, the role of public sector institutions, regulation, and taxation. The chapters in this volume provide one of the most comprehensive and thorough analyses of any financial system that has been undertaken to date. They reflect a large body of research using new and existing data sets, employing advanced empirical tools, and exploiting the unique insights provided by the tumultuous events of the financial and sovereign debt crises. Together they comprise an exceptional body of knowledge to advance academic thinking and guide policy formulation in the future.

Embracing networks of national policy research in future foresight

2016 ◽  
Vol 7 (2) ◽  
pp. 107 ◽  
Author(s):  
Hyunuk Kim ◽  
Taekho You ◽  
Sang Jin Ahn ◽  
Woo Sung Jung
Keyword(s):  
Policy Research ◽  
National Policy

Piekrastes pārvaldība Latvijā: pārvaldības ietvara attīstības pārskats

2021 ◽  
pp. 222-237
Author(s):  
Maija Štokmane ◽  
◽  
Raimonds Ernšteins ◽  
Keyword(s):  
Coastal Zone ◽  
Good Governance ◽  
Local Level ◽  
Good Practice ◽  
Integrated Approach ◽  
Horizontal Integration ◽  
Holistic View ◽  
Main Research ◽  
Coastal Governance ◽  
History Of

The coastal territory is a complex socio-ecological system (SES), which needs to be governed using an integrated approach. Integrated coastal management (ICM) is considered as the main approach in coastal governance, offering a holistic view of the coastal zone by integrating different governance sectors and governance levels, but ICM is not a fixed approach and should be adopted to meet each particular unique national and local situation. Full scale ICM in Latvia is not applied, but the following problems are recognized as most significant in the coastal territory: the lack of qualitative infrastructure and the lack of good governance; the local level coastal SES is studied, monitored and evaluated insufficiently as well as good practice examples are not communicated enough. In the current study, the exploration of the legisla-tive regulations and planning documents was conducted, therefore, the main research methods are docu-ment studies and expert interviews. Both the vertical and horizontal integration were assessed for the coastal governance, as well as overview of ICM developments in the modern history of Latvia. In order to understand the situation of the coastal governance in Latvia, the scheme of coastal dune protection zone was prepared, based on Latvian coastal legislation, however it is often difficult to depict different protec-tion zones in practice in such a dynamic and changing territory as a coastal zone.

scholarly journals Importation of Good Governance at Local Self-government Body in Bangladesh

2015 ◽  
Vol 4 (4) ◽  
pp. 46
Author(s):  
Fakhrul Islam ◽  
Md. Amdadul Haque
Keyword(s):  
Good Governance ◽  
Local Governance ◽  
Local Level ◽  
Survey Method ◽  
Role Of Government ◽  
Public Issues ◽  
The People ◽  
New Space ◽  
Government Body ◽  
Data Collection Technique

The principle of good governance is difficult and controversial. Governance opens new space which provides a concept that allows us to discuss the role of government in coping with public issues and the contribution that other players may make. It opens one’s mind to the possibility that groups in society other than government. Good governance is responsive to the present and future needs of society. Strengthening local governance can be ensured through the importation of the component of good governance at the local level. This paper intent to  examine spaces where principles of good governance are required to apply to ensure better service delivery system at Union Parishad. This paper has been followed by social survey method. The data collection technique of this study has covered quantitative technique. Union Parishad as a local self government body ensuring community participations, people can approach and communicates clearly to their representatives and regularly issuing its progress report to the people for their transparency. Besides, dealing with convicted corruption was found most effective in manner.

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