title: Are senior nurses on Clinical Commissioning Groups in England inadvertently supporting the devaluation of their profession?: A critical integrative review of the literature.
abstract: In this study, we discuss the role of senior nurses who sit on clinical commissioning groups that now plan and procure most health services in England. These nurses are expected to bring a nursing view to all aspects of clinical commissioning group business. The role is a senior level appointment and requires experience of strategic commissioning. However, little is known about how nurses function in these roles. Following Barrientos' methodology, published policy and literature were analysed to investigate these roles and National Health Service England's claim that nursing can influence and advance a nursing perspective in clinical commissioning groups. Drawing on work by Berg, Barry and Chandler on 'new public management', we discuss how nurses on clinical commissioning groups work at the alignment of the interests of biomedicine and managerialism. We propose that the way this nursing role is being implemented might paradoxically offer further evidence of the devaluing of nursing rather than the emergence of a strong professional nursing voice at the level of strategic commissioning.
authors.affiliation: Middlesex University, London, UK.
authors.forename: Helen Therese
authors.initials: HT
authors.lastname: Allan
authors.affiliation: Birkbeck London University, London, UK.
authors.forename: Roz
authors.initials: R
authors.lastname: Dixon
authors.affiliation: Middlesex University, London, UK.
authors.forename: Gay
authors.initials: G
authors.lastname: Lee
authors.affiliation: Middlesex University, London, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: O'Driscoll
authors.affiliation: Middlesex University, London, UK.
authors.forename: Jan
authors.initials: J
authors.lastname: Savage
authors.affiliation: Middlesex University, London, UK.
authors.forename: Christine
authors.initials: C
authors.lastname: Tapson
mesh_terms: D026683:Advisory Committees / Q000458:organization & administration*; D054976:Clinical Governance / Q000458:organization & administration; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators / Q000523:psychology*; D011361:Professional Competence / Q000592:standards; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom
keywords: 6Cs; clinical commissioning groups; commissioning nurses; governing body nurses; leadership; new public management