Breaking down the Berlin Wall: viewpoints on the meanings and impacts of joint commissioning

Joint commissioning has been extensively alluded to in English health and social care policy as a way of improving services and outcomes. Yet there is a lack of specificity pertaining to what joint commissioning actually is and what success would look like. In this paper we adopt a Q methodology approach to understand the different meanings of joint commissioning that those involved in these arrangements hold. In doing so we get beyond the more orthodox interpretations of joint commissioning found in the literature although the appeal of joint commissioning as a ‘good thing’ is still prominent across these accounts.