Project on Commissioning for Secondary and Primary Health Care in Turkey

Project on Commissioning for Secondary and Primary Health Care in Turkey

The commissioning of health services is emphasis of primary care led national health services through primary care groups. Commissioning includes assessing need, setting priorities, allocating resources, and influencing providers, involving patients and public Clinical commissioning groups (CCGs) are responsible for the majority of the National Health Service (NHS) budget, controlling around £69 billion in 2015. NHS England is responsible for commissioning primary care and specialized health care services in secondary care. The aim of this study is identifying knowledge of physicians, nurses and health manager of primary and secondary health care setting about clinical health commissioning in Turkey. Family practice centers and secondary care centers were chosen randomly in Edirne province. Qualitative and quantitative method were used. The results indicate that providers believe CCGs have the potential to improve quality in primary care. There is statistically difference between health professionals and their CCGs knowledge. Physicians have higher scale points than others. 

___

  • Cafaggi F. (2005) Organizational loyalties and models of firms: Governance design and standard of duties. Theoretical Inquiries in Law;6:463–526. Graham T, Alderson P & Stokes T (2015) Managing Conflicts of Interest in the UK National Institute for Health and Care Excellence (NICE) Clinical Guidelines Programme: Qualitative Study. PLoS ONE 10(3) Jamal K, Marshall E & Tan H-T.(2016) Does disclosure of conflict of interest increase or decrease bias? AUDITING-J Pract Theory;35:89–99 McDermott I, Checkland K, Warwick-Giles L, et al.(2016) Understanding primary care co-commissioning: uptake, scope of activity and process of change (Interim Report) University of Manchester: Policy Research Unit in Commissioning and the Healthcare System. Moran V, Allen P, McDermott I, et al.(2017) How are clinical commissioning groups managing conflicts of interest under primary care co-commissioning in England? A qualitative analysis. BMJ Open;7(11):e018422. doi:10.1136/bmjopen-2017-018422.
  • National Voices.(2017) Healthy Commissioning. https://www.nationalvoices.org.uk/sites/default/files/public/publications/healthy_commissioning_-_how_the_social_value_act_is_being_used_by_clinical_commissioning_groups.pdf Accessed 6.03.2018 NHS Commissioning Board.(2012) Clinical commissioning group governing body members: role outlines, attributes and skills. Leeds, UK: NHS Commissioning Board. NHS Kingston Clinical Commissioning Group. http://www.kingstonccg.nhs.uk/Downloads/KCC%20papers/5%20July%202016/Att%20C%20-%20Kingston%20Primary%20Care%20Strategy%20v10.pdf. Accessed 6.03.2018 NHS.(2014). Five Year Forward View. https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf. Accessed 6.03.2018 Wistow, G. & Callaghan, G. (2011). Empowering local communities to commission for health and wellbeing: the connected care initiative in England, Journal of Management and Marketing in Healthcare, 4(1), February 2011, pp. 63–71 (9).