Discourses of joint commissioning
Discourses of joint commissioning
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) 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 to present a compelling case. 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.
65-71
Cameron, Ailsa
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Brangan, Emer
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Gabbay, J.
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Klein, Jonathan
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Pope, Catherine
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Wye, Lesley
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18 December 2017
Cameron, Ailsa
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Brangan, Emer
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Gabbay, J.
d779b76c-febe-461b-b3bb-e110163f114a
Klein, Jonathan
639e04f0-059a-4566-9361-a4edda0dba7d
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607
Wye, Lesley
106916f3-2dd2-4960-80be-73e317fa8275
Cameron, Ailsa, Brangan, Emer, Gabbay, J., Klein, Jonathan, Pope, Catherine and Wye, Lesley
(2017)
Discourses of joint commissioning.
Health & Social Care in the Community, 26 (1), .
(doi:10.1111/hsc.12462).
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) 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 to present a compelling case. 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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Accepted/In Press date: 3 May 2017
e-pub ahead of print date: 12 June 2017
Published date: 18 December 2017
Identifiers
Local EPrints ID: 412211
URI: http://eprints.soton.ac.uk/id/eprint/412211
ISSN: 0966-0410
PURE UUID: 03bf23ff-d17d-49dd-8a32-df9951f8bad9
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Date deposited: 13 Jul 2017 16:31
Last modified: 16 Mar 2024 05:23
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Contributors
Author:
Ailsa Cameron
Author:
Emer Brangan
Author:
J. Gabbay
Author:
Catherine Pope
Author:
Lesley Wye
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