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    Governing body nurses’ experiences of clinical commissioning groups: an observational study of two clinical commissioning groups in England

    Allan, H.T. and Dixon, Roz and Lee, G. and Savage, J. and Tapson, C. (2017) Governing body nurses’ experiences of clinical commissioning groups: an observational study of two clinical commissioning groups in England. Journal of Research in Nursing 22 (3), pp. 197-211. ISSN 1744-9871.

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    Abstract

    Clinical commissioning groups were set up under the Health & Social Care Act (2012) in England to commission healthcare services for local communities. Governing body nurses provide nursing leadership to commissioning services on clinical commissioning groups. Little is known about how nurses function on clinical commissioning groups. We conducted observations of seven formal meetings, three informal observation sessions and seven interviews from January 2015 to July 2015 in two clinical commissioning groups in the South of England. Implicit in the governing body nurse role is the enduring and contested assumption that nurses embody the values of caring, perception and compassion. This assumption undermines the authority of nurses in multidisciplinary teams where authority is traditionally clinically based. Emerging roles within clinical commissioning groups are not based on clinical expertise, but on well-established new public management concepts which promote governance over clinically-based authority. While governing body nurses claim an authority located in clinical and managerial expertise, this is contested by members of the clinical commissioning group and external stakeholders irrespective of whether it is aligned with clinical knowledge and practice or with new forms of management, as both disregard the type of expertise nurses in commissioning embody.

    Metadata

    Item Type: Article
    Keyword(s) / Subject(s): authority, case study, clinical commissioning groups, governing body nurses, leadership, observation
    School: Birkbeck Schools and Departments > School of Science > Psychological Sciences
    Depositing User: Administrator
    Date Deposited: 21 Jul 2017 13:40
    Last Modified: 16 Jan 2018 16:36
    URI: http://eprints.bbk.ac.uk/id/eprint/19216

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