![Sample our Health and Social Care journals, sign in here to start your FREE access for 14 days]({"type":"image" , "src" : "/sda/5938/TOC-Subject-Sample-2021-Health-Social-Care.jpg"})
Abstract
The Health & Social Care Bill has focused attention on the commissioning processes evident within the National Health Service (NHS) in England and Wales. Through a detailed exploratory empirical study of commissioning in the NHS, this paper examines how the implicit models constructed through the discourses surrounding the Bill create tensions for the existent commissioning process. Significantly for the research and more broadly in terms of healthcare policy, it highlights the centrality of legacy and trust when considering the introduction of change. The changed nature of the relationships within the commissioning process has wider implications on the commissioning partners, influencing strategic direction, and investment in innovation.