An examination of the resistors and challenges in the NHS commissioner/provider relationship

Cross, P and Prowle, Malcolm J and Harradine, Don (2015) An examination of the resistors and challenges in the NHS commissioner/provider relationship. Journal of Finance and Management in Public Services, 14 (1). pp. 41-59. ISSN 1475-1283

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Abstract

Since 1991, the English National Health Service (NHS) has been subject to several control and management regimes that have often used market based approaches to enable the delivery of services. This paper uses survey based research to explore the resistors and challenges that impact on the development of effective relationships between commissioners and providers in delivering high quality patient care. The study is part of a larger multi method study and although this paper focuses on the quantitative aspects it is the authors’ intention to publish other aspects of the study in the future. The findings highlight the key challenges as the short tenure of senior leaders, time limitations on organisational stability, prescriptive performance management frameworks, lack of innovation and conflict and tensions between commissioners and providers. The paper enhances the understanding of the complexity of the commissioner-provider relationship and develops a model to assist the understanding of this complexity.

Item Type: Article
Article Type: Article
Uncontrolled Keywords: NHS, Health, Commissioners, Providers, Complexity
Related URLs:
Subjects: H Social Sciences > HG Finance > HG4001 Finance management. Business finance
H Social Sciences > HJ Public Finance
Divisions: Schools and Research Institutes > Business School > Business and Human Resource Management
Research Priority Areas: Applied Business Research
Depositing User: Susan Turner
Date Deposited: 08 Jan 2016 15:36
Last Modified: 24 Sep 2017 00:58
URI: http://eprints.glos.ac.uk/id/eprint/2979

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