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'Animateurs' and animation: what makes a good commissioning manager?
Kath Checkland1, Stephanie Snow, Imelda McDermott
1Health Policy, Politics and Organisation Group, School of Community-based Medicine, University of Manchester, Manchester, UK. catherine.checkland@manchester.ac.uk
Journal of Health Services Research & Policy
|October 5, 2011
Summary
Managerial behaviours in English primary care trusts (PCTs) were studied. An
Area of Science:
- Health Services Management
- Organizational Behavior
- Public Health Policy
Background:
- English primary care trusts (PCTs) are undergoing significant changes in commissioning responsibilities.
- General Practitioners (GPs) are increasingly involved in the commissioning of hospital services.
Purpose of the Study:
- To examine the managerial behaviours of commissioning managers in PCTs.
- To explore the impact of these behaviours on service commissioning.
Main Methods:
- Qualitative case studies in four PCTs.
- 150 hours of observation and 41 in-depth interviews with managers and GPs.
Main Results:
- Managers utilized information sharing and networking, but faced organizational barriers.
- An 'animateur' managerial style, managing without direct authority, was identified as key to success.
- Managerial autonomy and perceived legitimacy facilitated the 'animateur' approach.
Conclusions:
- Managers in new commissioning organizations need contextual NHS understanding.
- Organizational processes must support, not hinder, effective managerial behaviour.
- Legitimacy is crucial, especially for transferred managers.
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