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Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
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Implementing world class commissioning competencies.

Sara McCafferty1, Iestyn Williams, David Hunter

  • 1Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Journal of Health Services Research & Policy
|February 9, 2012
PubMed
Summary
This summary is machine-generated.

The World Class Commissioning (WCC) program aimed to improve health service commissioning but faced implementation challenges. Future commissioning groups need a supportive culture and aligned policies for success.

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14:32

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Published on: February 16, 2011

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Management

Background:

  • The World Class Commissioning (WCC) program was established in the English NHS in 2007 to enhance primary care trust (PCT) commissioning.
  • Limited evaluation exists for health commissioning initiatives, particularly regarding commissioner interpretation and implementation.

Purpose of the Study:

  • To explore the development and implementation of the WCC program.
  • To draw implications for future health commissioning arrangements.

Main Methods:

  • Analysis of WCC aims and stimuli through a literature review and interviews with key informants (n=6).
  • In-depth interviews (n=38) in three northern English PCTs in 2009 to examine WCC interpretation and implementation.

Main Results:

  • Interviewees generally supported WCC's aims, including skill specification and improving health outcomes.
  • Implementation challenges included resource/knowledge scarcity, lack of supportive organizational culture/networks, and central government control.

Conclusions:

  • Findings offer insights for emerging Clinical Commissioning Groups (CCGs).
  • A system-wide approach is crucial for improving commissioning, requiring aligned policy, objectives, and a coordinated, supportive organizational culture.