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Two approaches to the joint commissioning of mental health services
- Author:
- GULLIVER Pauline
- Journal article citation:
- Mental Health Review, 4(3), September 1999, pp.21-23.
- Publisher:
- Pier Professional
This case study compares two approaches to joint commissioning and describes the lessons learnt. The first is an example of joint commissioning at the level of the community mental health team and the second describes joint commissioning by an NHS trust and social services department.
Evaluation of the implementation of the mental health review in Somerset: results after fifteen months of data collection
- Authors:
- GULLIVER Pauline, et al
- Journal article citation:
- Managing Community Care, 9(1), February 2001, pp.14-21.
- Publisher:
- Pavilion
This article presents the second set of results from the evaluation of the implementation of joint commissioning and combined provision of mental health services in Somerset. Looks specifically at the impact of the changes on users and carers; the impact on professional staff; identification of the aspirations and view of the agencies involved in the joint commissioning and joint provision of mental health services in Somerset.
Evaluation of the implementation of the mental health review in Somerset: results from the baseline data collection
- Authors:
- GULLIVER Pauline, et al
- Journal article citation:
- Managing Community Care, 8(4), August 2000, pp.16-23.
- Publisher:
- Pavilion
Presents baseline results from the evaluation of the implementation of a joint commissioning and integrated services in England. Comparisons are made with published research, and key themes for the continuing evaluation are discussed. Finally, the article reflects on some immediate challenges facing the new arrangements.
Balancing professional and team boundaries in mental health services: pursuing the holy grail in Somerset
- Authors:
- GULLIVER Pauline, PECK Edward, TOWELL David
- Journal article citation:
- Journal of Interprofessional Care, 16(4), November 2002, pp.359-370.
- Publisher:
- Taylor and Francis
The overcoming of professional boundaries to collaboration in patient care has become one of the goals of mental health service policy in England over the past 25 years, predominantly through the creation of community mental health teams. However, research has shown that these boundaries have been slow to come down, and some commentators have pointed to the benefits of appropriate boundaries. This paper introduces a theoretical framework, which seeks to categorise boundary activity in organisations and then examines the boundary activity of professional groups and community teams during the integration of mental health and social care service provision in one locality in the southwest of England
Information, consultation or control: User involvement in mental health services in England at the turn of the century
- Authors:
- PECK Edward, GULLIVER Pauline, TOWEL David
- Journal article citation:
- Journal of Mental Health, 11(4), August 2002, pp.441-451.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
A wide variety of forms of user involvement in mental health services - ranging from information through consultation to control - have arisen in England over the past 10 years. The evaluation of the creation of a joint commissioning board and a combined mental health and social care NHS Trust offered the opportunity to assess the nature and development of service user involvement in a specific English locality over a 30-month period. Data were collected using interviews with service users, senior managers and members of the joint commissioning board, a mail administered survey for staff members, and focus groups with service users, carers and staff members. Although user consultation around management and planning of services appeared to increase as a consequence of the changes, there was only one example of user control in the system, and the level of service user involvement with their own care seemed dependent on individual staff members.
Evaluation of the integration of health and social services in Somerset: part 1 - final results
- Authors:
- GULLIVER Pauline, PECK Edward, TOWELL David
- Journal article citation:
- MCC Building Knowledge for Integrated Care, 10(2), April 2002, pp.32-37.
- Publisher:
- Pavilion
In April 1999, Somerset Health Authority and Somerset County Council launched the first fully integrated mental health service in England. The authors have evaluated this innovation and have already reported on progress on two occasions in this journal. This article gives data and conclusions for the final stage.
Evaluation of the integration of health and social services in Somerset: part 2 - lessons for other localities
- Authors:
- GULLIVER Pauline, PECK Edward, TOWELL David
- Journal article citation:
- MCC Building Knowledge for Integrated Care, 10(3), June 2002, pp.33-38.
- Publisher:
- Pavilion
Somerset Health Authority and Somerset County Council launched the first fully integrated adult mental health service in England, made up of joint commissioning board and an integrated services provider in April 1999. Between January 1999 and June 2001, the authors evaluated the implementations of the integration by investigating the impact of this initiative on service users, their carers, staff members at the new trust, and senior managers and members from health and social services.
Going halves
- Authors:
- PECK Edward, TOWELL David, GULLIVER Pauline
- Journal article citation:
- Health Service Journal, 18.4.02, 2002, pp.26-27.
- Publisher:
- Emap Healthcare
Integrated working for health and social services is a keystone of modernisation. This article reports on a two year evaluation of joint working in Somerset which suggests that in practice the process can be less than seamless and the benefits disappointing.
Evaluation of the implementation of the mental health review in Somerset: methodology
- Authors:
- GULLIVER Pauline, PECK Edward, TOWELL David
- Journal article citation:
- Managing Community Care, 8(3), June 2000, pp.13-19.
- Publisher:
- Pavilion
This article is the first of two discussing the evaluation of the implementation of joint commissioning and integrated provision of mental health services in Somerset. The article presents the methods of evaluation, and explores the potential limitations and environment factors impacting on the effectiveness of data-collection methods.