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Discourses of joint commissioning.

Ailsa Cameron1, Emer Brangan1, John Gabbay1

  • 1School for Policy Studies, University of Bristol, Bristol, UK.

Health & Social Care in the Community
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Summary
This summary is machine-generated.

Joint commissioning in England uses prevention, empowerment, and efficiency discourses. Findings show professionals combine these in unexpected ways, with empowerment fostering agreement on decisions.

Keywords:
efficiencyempowermentjoint commissioningprevention

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Area of Science:

  • Health Services Research
  • Public Policy
  • Social Care Management

Background:

  • Joint commissioning is increasingly central to health and social care policy in England.
  • Understanding how professionals frame joint commissioning is crucial for effective implementation.
  • Previous research identified three key discourses: prevention, empowerment, and efficiency.

Purpose of the Study:

  • To empirically examine the three discourses of joint commissioning in England.
  • To explore how professionals from health and social care organizations use these discourses.
  • To investigate the interplay and combination of these discourses in practice.

Main Methods:

  • Interpretative analysis of documents.
  • Qualitative study involving interviews with 92 participants.
  • Data collected between 2011 and 2013.

Main Results:

  • The study confirms the use of prevention, empowerment, and efficiency discourses by health and social care professionals.
  • Contrary to prior work, commissioners and stakeholders combine and trade off these discourses in novel ways.
  • Joint commissioning focused on service user experience (empowerment) led to greater agreement on decisions, even with other discourses present.

Conclusions:

  • Professionals utilize multiple discourses of joint commissioning, often combining them pragmatically.
  • Prioritizing service user experience within joint commissioning can enhance consensus and decision-making.
  • Findings offer insights into optimizing joint commissioning strategies in health and social care settings.