How effective is joint commissioning? A study of five English localities
Purpose – This paper reports research undertaken into the practices, processes and outcomes of joint commissioning at five English localities. This paper reflects on the implications of this study for the practice of joint commissioning.Design/methodology/approach – A case study approach to the research was adopted where the assumptions about what joint commissioning should deliver in five “best practice” sites. These hypothesised relationships about organisational processes, services and outcomes were then tested through the collection of primary and secondary data. Methods of data collection included an online tool based on Q methodology, documentary analysis, interviews and focus groups.Findings – Very little of what we found seemed to relate directly to issues of joint commissioning. Respondents often spoke of joint commissioning conflating it with issues of commissioning or joint working more generally. We found a variety of different definitions and meanings of joint commissioning in practice sugges...
Abstract At an interface or junction, strong spin-orbit coupling with pairing inhomogeneity and small pair size on the heavy-electron side mean that coherent proximity or Josephson effects would occur for singlet to triplet as well as for singlet to singlet pairing states.