Aunger, JA, Millar, R, Greenhalgh, J orcid.org/0000-0003-2189-8879 et al. (3 more authors) (2021) Building an initial realist theory of partnering across National Health Service providers. Journal of Integrated Care, 29 (2). pp. 111-125. ISSN 1476-9018
Abstract
Purpose:
The National Health Service (NHS) is facing unprecedented financial strain. These significant economic pressures have coincided with concerns regarding the quality and safety of the NHS provider sector. To make the necessary improvements to performance, policy interest has turned to encouraging greater collaboration and partnership working across providers.
Design/methodology/approach:
Using a purposive search of academic and grey literature, this narrative review aimed (1) to establish a working typology of partnering arrangements for improvement across NHS providers and (2) inform the development of a plausible initial rough theory (IRF) of partnering to inform an ongoing realist synthesis.
Findings:
Different types of partnership were characterised by degree of integration and/or organisational change. A review of existing theories of partnering also identified a suitable framework which incorporated key elements to partnerships, such as governance, workforce, leadership and culture. This informed the creation of an IRF of partnerships, which proposes that partnership “interventions” are proposed to primarily cause changes in governance, leadership, IT systems and care model design, which will then go on to affect culture, user engagement and workforce.
Research limitations/implications:
Further realist evaluation, informed by this review, will aim to uncover configurations of mechanisms, contexts and outcomes in various partnering arrangements and limitations. As this is the starting point for building a programme theory, it draws on limited evidence.
Originality/value:
This paper presents a novel theory of partnering and collaborating in healthcare with practical implications for policy makers and practitioners.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020, Emerald Publishing Limited. This is an author produced version of a article published in Journal of Integrated Care. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Collaboration; Improvement; Integrated healthcare; Integration; NHS; Partnership working |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Education, Social Sciences and Law (Leeds) > School of Sociology and Social Policy (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 06 Oct 2020 12:51 |
Last Modified: | 23 Jul 2022 11:26 |
Status: | Published |
Publisher: | Emerald |
Identification Number: | 10.1108/jica-05-2020-0026 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:166359 |