General practitioners' views of clinically led commissioning: Cross-sectional survey in England

Valerie Moran*, Kath Checkland, Anna Coleman, Sharon Spooner, Jonathan Gibson, Matt Sutton

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

6 Citations (Scopus)


Objectives: Involving general practitioners (GPs) in the commissioning/purchasing of services has been an important element in English health policy for many years. The Health and Social Care Act 2012 handed responsibility for commissioning of the majority of care for local populations to GP-led Clinical Commissioning Groups (CCGs). In this paper, we explore GP attitudes to involvement in commissioning and future intentions for engagement. Design and setting: Survey of a random sample of GPs across England in 2015. Method: The Eighth National GP Worklife Survey was distributed to GPs in spring 2015. Responses were received from 2611 respondents (response rate = 46%). We compared responses across different GP characteristics and conducted two sample tests of proportions to identify statistically significant differences in responses across groups. We also used multivariate logistic regression to identify the characteristics associated with wanting a formal CCG role in the future. Results: While GPs generally agree that they can add value to aspects of commissioning, only a minority feel that this is an important part of their role. Many current leaders intend to quit in the next 5 years, and there is limited appetite among those not currently in a formal role to take up such a role in the future. CCGs were set up as 'membership organisations' but only a minority of respondents reported feeling that they had 'ownership' of their local CCG and these were often GPs with formal CCG roles. However, respondents generally agree that the CCG has a legitimate role in influencing the work that they do. Conclusion: CCGs need to engage in active succession planning to find the next generation of GP leaders. GPs believe that CCGs have a legitimate role in influencing their work, suggesting that there may be scope for CCGs to involve GPs more fully in roles short of formal leadership.

Original languageEnglish
Article numbere015464
JournalBMJ Open
Issue number6
Publication statusPublished - 1 Jun 2017
Externally publishedYes


  • clinical commissioning groups
  • clinically-led commissioning
  • general practice
  • health policy
  • survey


Dive into the research topics of 'General practitioners' views of clinically led commissioning: Cross-sectional survey in England'. Together they form a unique fingerprint.

Cite this