Institute of Epidemiology & Health Care


An evaluation of the clinical leadership in CCG's

The team:

John StoreyProfessor of Management, The Open University Business School
Richard HoltiSenior Lecturer in Human Resources Management, The Open University Business School
Jean HartleyProfessor in Public Leadership, The Open University Business School
Tatum MatharuResearch Fellow, The Open University
Martin MarshallProfessor of Healthcare Improvement, UCL

Project Summary:

Clinical Commissioning Groups (CCGs) have been given control over a large part of the total budget for the NHS in England. The CCGs were the central component of the Health & Social Care Act and the rationale for their creation was to enable clinical leadership. This in turn was seen as crucial to facilitate service redesign and improvement. The project will investigate the ways in which clinical leadership is realised and enacted and with what consequences.

The scope of the study will extend across primary care, acute hospital care, community services and social care including the work of local authorities. The ways in which these bodies with the aid of clinical engagement and leadership can rethink and redesign health and social services is the core of the study.

The project is designed to examine the variety of ways and the extent to which CCGs address the challenge of engaging clinicians and deploying clinical leadership in the redesign of services. We are in search of effective practice. In particular, it will assess the extent to which these efforts lead to successful inroads into the achievement of integrated care which cuts across legacy boundaries.

Additionally, the ways in which CCGs seek to maintain and develop services based on existing clinical clusters or networks and /or create new arrangements and relationships is a focal area of interest.

The prime purpose of the project is to help identify and clarify the behaviours and circumstances which enable the contribution of effective clinical leadership to service design and delivery in the new context.  The project is of equal relevance to managers as it is to clinicians. The research will seek out the views of Health and Wellbeing Boards and patients as well as clinicians and managers. 

The main objectives are:

  • To determine the range of clinical engagement and clinical leadership modes being used in CCGs
  • To explore the extent and nature of the scope for clinical leadership and engagement in service redesign that is possible and facilitated by commissioning bodies, particularly the CCGs and the HWBs
  • To examine the range of benefits being targeted through different kinds of clinical engagement and leadership
  • To describe the forces and factors that serve to either enable or block the achievement of benefits in different contexts, and how appropriate are different kinds of clinical engagement and leadership for achieving effective service design
Start dateDecember 2013
Planned end dateNovember 2016