Chapter Three: Commissioning for health and wellbeing


This chapter considers the history of NHS commissioning in England, the Labour government initiative for World Class Commissioning (2007-10) and the extent to which a public health-led model of commissioning is reflected in practice. Health needs assessment of a local population is described in detail as the first stage in a commissioning cycle and cornerstone of a public health-led approach to commissioning. Drawing on interview data from the study, the chapter discusses how ‘commissioning for health and wellbeing’ is understood and put into practice, and summarises GP involvement in the commissioning process. It reviews local approaches for tackling health inequalities and discusses enablers and barriers to implementation. It concludes by identifying lessons from the research for public health in local government following the major reforms in public health commissioning implemented by the Coalition government in 2013.

Content Metrics

May 2022 onwards Past Year Past 30 Days
Abstract Views 66 54 11
Full Text Views 4 3 0
PDF Downloads 1 0 0


You are not currently authorised to access the full text of this chapter or article.
Access options
To access the full chapter or article then please choose one of the options below.
Pay to access content (PDF download and unlimited online access)
Other access options
Redeem Token
Institutional Login
Log in via Open Athens or Shibboleth. Please contact your librarian if you need any help.
Login with Institutional Access
Personal Login
Login to your BUP account with your individual credentials.
Login with BUP account

Institutional librarians can find more information about free trials here