Walker, I.F., Leigh-Hunt, N. and Lee, A.C.K. orcid.org/0000-0002-9795-3793 (2016) Redesign and commissioning of sexual health services in England – a qualitative study. Public Health, 139. pp. 134-140. ISSN 0033-3506
Abstract
Objectives
Responsibility for the commissioning of sexual and reproductive health (SRH) services transferred from the National Health Service to local authorities in England in 2013. This transfer prompted many local authorities to undertake new procurements of these SRH services. This study was undertaken to capture some of the lessons learnt in order to inform future commissioning and system redesign.
Study design
A qualitative study was carried out involving semi-structured interviews.
Methods
Interviews were conducted with 13 local authority sexual health commissioners in Yorkshire and the Humber from 11 interviews. Thematic analysis was used to identify themes from transcripts of the interviews with the 13 participants.
Results
Key themes identified were as follows: the challenge and complexity to those new to clinical commissioning; the prerequisites of robust infrastructural inputs to undertake the process, including technical expertise, a dependable project team, with clarity over the timescales and the budget; the requirement for good governance, stakeholder engagement and successful management of relationships with the latter; and the need to focus on the outcomes, aiming for value for money and improved system performance.
Conclusions
Several key issues emerged from our study that significantly influenced the outcome of the redesign and commissioning process for sexual health services. An adapted model of the Donabedian evaluation framework was developed to provide a tool to inform future system redesign. Our model helps identify the key determinants for successful redesign in this context which is essential to both mitigate potential risks and maximize the likelihood of successful outcomes. Our model may have wider applications.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. This is an author produced version of a paper subsequently published in Public Health. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
Keywords: | Sexual health; Procurement; Qualitative research; Public health; Local government |
Dates: |
|
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 05 Sep 2016 15:40 |
Last Modified: | 18 Jul 2017 17:44 |
Published Version: | http://dx.doi.org/10.1016/j.puhe.2016.05.018 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.puhe.2016.05.018 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:104233 |
Download
Filename: System Redesign - SH Procurement Qual Study after peer review FINAL draft.pdf
Licence: CC-BY-NC-ND 4.0