The Open UniversitySkip to content

Mental health commissioning: master or subject of change?

Miller, Robin and Rees, James (2014). Mental health commissioning: master or subject of change? Mental Health Review Journal, 19(3) pp. 145–155.

DOI (Digital Object Identifier) Link:
Google Scholar: Look up in Google Scholar


Purpose – The purpose of this paper is to explore change within the commissioning of third sector mental health services in England.
Design/methodology/approach – A case study methodology based on survey and interview data of a sample of third sector organisations and commissioners within an English conurbation.
Findings – Normative commissioning models based on sequential cycles were not fully implemented with the main focus being on the procurement and contracting elements. There were examples of commissioning being an enabler of service improvement but overall it seems to have been limited in its ability to bring about whole system change. Barriers included commissioners’ capacity and competence, ineffectual systems within their organisations, and fragmentation in commissioning processes between user groups, organisations and sectors.
Research limitations/implications – The case study conurbation may not represent practice in all urban areas of England and there may be particular issues of difference within rural localities. The view of private and public sector providers and those working in Commissioning Support Units were not sought.
Practical implications – To lead whole system change the commissioning function needs to be adequately resourced and skilled with better integration across public sector functions and organisations.
Greater emphasis needs to be placed on implementing the full commissioning cycle, including the engagement of relevant stakeholders throughout the process and the practical application of outcomes.
Originality/value – This research adds to the limited body of empirical work regarding commissioning in mental health.

Item Type: Journal Item
Copyright Holders: 2014 Emerald Group Publishing Limited
ISSN: 1361-9322
Project Funding Details:
Funded Project NameProject IDFunding Body
Third Sector Research CentreNot SetESRC
Keywords: Mental health; Change; Outcomes; Integration; Commissioning; Third sector
Academic Unit/School: Faculty of Business and Law (FBL) > Business > Department for Public Leadership and Social Enterprise
Faculty of Business and Law (FBL) > Business
Faculty of Business and Law (FBL)
Item ID: 45522
Depositing User: James Rees
Date Deposited: 02 Mar 2016 17:08
Last Modified: 07 Dec 2018 10:38
Share this page:


Altmetrics from Altmetric

Citations from Dimensions

Actions (login may be required)

Policies | Disclaimer

© The Open University   contact the OU