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Accountable to whom, for what? An exploration of the early development of Clinical Commissioning Groups in the English NHS

Checkland, Kath, Allen, Pauline, Coleman, Anna, Segar, Julia, Mcdermott, Imelda, Harrison, Stephen, Petsoulas, Christina, Peckham, Stephen (2013) Accountable to whom, for what? An exploration of the early development of Clinical Commissioning Groups in the English NHS. BMJ Open, 3 (12). ISSN 2044-6055. (doi:10.1136/bmjopen-2013-003769) (KAR id:37478)

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http://dx.doi.org/10.1136/bmjopen-2013-003769

Abstract

Objective: One of the key goals of the current reforms in the English National Health Service (NHS) under the Health and Social Care Act, 2012, is to increase the accountability of those responsible for commissioning care for patients (clinical commissioning groups (CCGs)), while at the same time allowing them a greater autonomy. This study was set out to explore CCG’s developing accountability relationships.

Design: We carried out detailed case studies in eight CCGs, using interviews, observation and documentaryanalysis to explore their multiple accountabilities.

some important issues and concerns, including the risk that the different bodies to whom CCGs are accountable will have differing (or conflicting) agendas, and the lack of clarity over the operation of sanction regimes.

Item Type: Article
DOI/Identification number: 10.1136/bmjopen-2013-003769
Uncontrolled keywords: Accountability; Case Study Research; Clinical Commissioning Groups
Subjects: H Social Sciences > HJ Public Finance
R Medicine > R Medicine (General) > R729 Types of medical practice > R729.5.G4 General practice
R Medicine > RA Public aspects of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Stephen Peckham
Date Deposited: 11 Dec 2013 09:47 UTC
Last Modified: 02 Jul 2019 07:49 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/37478 (The current URI for this page, for reference purposes)
Peckham, Stephen: https://orcid.org/0000-0002-7002-2614
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