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Related Experiment Videos

Joint commissioning. Going halves.

Edward Peck1, David Towell, Pauline Gulliver

  • 1Institute for Applied Health and Social Policy, King's College, London.

The Health Service Journal
|May 10, 2002
PubMed
Summary
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Joint mental health service commissioning in Somerset yielded no significant user benefits. Access to care worsened, with limited crisis alternatives and reduced user involvement in planning, despite a combined trust structure.

Area of Science:

  • Health Services Research
  • Mental Health Policy
  • Public Administration

Background:

  • Integrated health and social care models are increasingly adopted.
  • Evaluating the impact of joint commissioning on mental health service users is crucial.
  • Previous service provision structures in Somerset faced challenges.

Purpose of the Study:

  • To assess the outcomes of joint commissioning and provision of mental health services in Somerset.
  • To evaluate user and carer experiences with the integrated model.
  • To determine if the new structure offered advantages over previous arrangements.

Main Methods:

  • Qualitative assessment of user and carer feedback.
  • Analysis of service access and crisis intervention pathways.

Related Experiment Videos

  • Comparison of outcomes with non-integrated service models.

    • Main Results:

    • No significant benefits were observed for mental health service users in the first two years.
    • Users reported a deterioration in service access and limited crisis management options.
    • User and carer involvement in commissioning was perceived as less impactful than before.

    Conclusions:

    • The joint commissioning model in Somerset did not demonstrably improve mental health service delivery.
    • The integration did not achieve outcomes superior to those attainable without staff transfer.
    • Further evaluation is needed to understand barriers to effective integrated care.