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Commissioning and public health.

R Alderslade¹, D J Hunter

¹Trent Regional Health Authority and Nuffield Institute for Health, University of Leeds.

Journal of Management in Medicine

|December 9, 1993

Summary

Public health management aims to balance health knowledge with action for improvement. Strategic commissioning in the National Health Service (NHS) offers a practical approach, though significant development is still needed for success.

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Area of Science:

Public Health
Health Management
Health Policy

Background:

Improving national health is a persistent challenge.
Public health medicine historically balances knowledge and action, often with tension.
Aligning public health knowledge with actionable strategies is crucial for health improvement.

Purpose of the Study:

To explore the role of commissioning in bridging the gap between public health knowledge and action.
To examine the concept of public health management as a means to achieve health improvement.
To describe a practical approach to strategic health development and commissioning within the NHS.

Main Methods:

The study focuses on the commissioning function, including purchasing and contracting.
It examines the application of public health management principles.
A practical approach to strategic health development within the NHS is described.

Main Results:

Commissioning offers a potential mechanism for aligning public health knowledge with action.
Public health management requires a diverse skill set, which is still developing in practice.
The NHS has implemented unique strategies for health development and commissioning.

Conclusions:

Strategic commissioning presents a promising avenue for translating public health knowledge into tangible health improvements.
Significant organizational and personal development is required to fully realize the potential of public health management.
Sustained commitment is essential for the success of the described strategic health development and commissioning initiatives in the NHS.

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