NHS commissioning practice and health system governance: a mixed-methods realistic evaluation

• Main Authors: Rod Sheaff (Author), Nigel Charles (Author), Ann Mahon (Author), Naomi Chambers (Author), Verdiana Morando (Author), Mark Exworthy (Author), Richard Byng (Author), Russell Mannion (Author), Sue Llewellyn (Author)
• Format: Book
• Published: National Institute for Health Research, 2015-03-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Background: By 2010 English health policy-makers had concluded that the main NHS commissioners [primary care trusts (PCTs)] did not sufficiently control provider costs and performance. After the 2010 general election, they decided to replace PCTs with general practitioner (GP)-controlled Clinical Co...