Policymakers in England are increasingly encouraging the formation of 'large-scale'general
practice provider collaborations with the expectation that this will help deliver better quality …

Background Primary care has been described as the 'bedrock'of the National Health Service
(NHS) accounting for approximately 90% of patient contacts but is facing significant …

In this paper, we discuss the processes of policy layering as they relate to health care
reform. We focus on efforts to achieve systems of coordinated primary care, and demonstrate …

There are 1250 primary care networks (PCNs) in the English NHS. Established in July 2019,
PCNs have been developed in response to national policy focused on better integrating …

Objectives To explore views of all stakeholders (patients, optometrists, general practitioners
(GPs), commissioners and ophthalmologists) regarding the operation of community-based …

Background Over the past decade, collaboration between general practices in England to
form new provider networks and large-scale organisations has been driven largely by …

Objectives To explore the 'added value'that general practitioners (GPs) bring to
commissioning in the English NHS. We describe the experience of Clinical Commissioning …

Objective To understand how materiality affects patient and public involvement (PPI) for
commissioning and leading health and care services in the English National Health Service …

Background Significant health inequalities exist in England. Primary care networks (PCNs),
comprised of GP practices, were introduced in England in 2019 with funding linked to …

This chapter focuses on the introduction and implementation of the Health and Social Care
Act (UK Legislation 2012) in England which reignited the debate about the extent to which …