Evidence-based policy-making in the NHS: exploring the interface between research and the commissioning process

Area of Science:

• Health Services Research
• Policy Analysis
• Knowledge Translation

Background:

• UK National Health Service (NHS) strategy emphasizes evidence-based practice and policy.
• Qualitative study to identify facilitators and barriers to evidence-based policy-making at the local NHS level.

Purpose of the Study:

• To explore factors influencing evidence-based policy-making within the NHS.
• To understand the complexities of research and development (R&D) in health service purchasing.

Main Methods:

• Qualitative study employing literature review and case studies.
• In-depth interviews with policymakers, general practitioners (GPs), and researchers.
• Analysis of social research project documentation initiated by NHS managers and GP fundholders.

Main Results:

• R&D in health service purchasing is complex, with a disconnect between research and management.
• Key factors include research utilization models, relationship dynamics, influence, commitment, and R&D resourcing.
• No single 'blueprint' for successful R&D exists due to this complexity.

Conclusions:

• Findings have implications for strategic R&D development and project application within the NHS.
• Acknowledging complexity and addressing outlined issues are crucial for moving beyond evidence-based policy rhetoric.
• Open dialogue between policymakers and researchers is essential for effective evidence implementation.