Are senior nurses on clinical commissioning groups in England inadvertently supporting the devaluation of their profession?: A critical integrative review of the literature

Article

Allan, H., Dixon, R., Lee, G., O'Driscoll, M., Savage, J. and Tapson, C. 2016. Are senior nurses on clinical commissioning groups in England inadvertently supporting the devaluation of their profession?: A critical integrative review of the literature. Nursing Inquiry. 23 (2), pp. 178-187. https://doi.org/10.1111/nin.12129
TypeArticle
TitleAre senior nurses on clinical commissioning groups in England inadvertently supporting the devaluation of their profession?: A critical integrative review of the literature
AuthorsAllan, H., Dixon, R., Lee, G., O'Driscoll, M., Savage, J. and Tapson, C.
Abstract

This paper discusses 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 (National Health Service England 2014a; Olphert 2014). 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 (1998), published policy and literature were analysed to investigate these roles and NHS England’s claim that nursing can influence and advance a nursing perspective in clinical commissioning groups. Drawing on work by Berg et al (2008, 2014) 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 (Latimer 2014) rather than the emergence of a strong professional nursing voice at the level of strategic commissioning.

KeywordsClinical commissioning groups, governing body nurses, commissioning nurses, new public management, leadership, 6Cs
PublisherWiley
JournalNursing Inquiry
ISSN1320-7881
Electronic1440-1800
Publication dates
Online01 Feb 2016
Print17 May 2016
Publication process dates
Deposited29 Sep 2015
Accepted03 Sep 2015
Output statusPublished
Accepted author manuscript
Copyright Statement

Attached full text: This is the peer reviewed version of the following article: Allan HT, Dixon R, Lee G, O'Driscoll M and Tapson C. Nursing Inquiry 2016; 23: 178–187 Are senior nurses on Clinical Commissioning Groups in England inadvertently supporting the devaluation of their profession?: A critical integrative review of the literature, which has been published in final form at http://dx.doi.org/10.1111/nin.12129. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html#terms).

Digital Object Identifier (DOI)https://doi.org/10.1111/nin.12129
PubMed ID27187276
Web of Science identifierWOS:000385288900010
LanguageEnglish
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The reliability and validity of multiple mini interviews (MMIs) in values based recruitment to nursing, midwifery and paramedic practice programmes: findings from an evaluation study
Callwood, A., Cooke, D., Bolger, S., Lemanska, A. and Allan, H. 2018. The reliability and validity of multiple mini interviews (MMIs) in values based recruitment to nursing, midwifery and paramedic practice programmes: findings from an evaluation study. International Journal of Nursing Studies. 77, pp. 138-144. https://doi.org/10.1016/j.ijnurstu.2017.10.003
Governing body nurses' experiences of clinical commissioning groups: an observational study of two clinical commissioning groups (CCGs) in England
Allan, H., Dixon, R., Lee, G., Savage, J. and Tapson, C. 2017. Governing body nurses' experiences of clinical commissioning groups: an observational study of two clinical commissioning groups (CCGs) in England. Journal of Research in Nursing. 22 (3), pp. 197-211. https://doi.org/10.1177/1744987117702694
A randomized controlled clinical trial evaluating quality of life in women with primary dysmenorrhea using a simple acupressure protocol
Bazarganipour, F., Seyed-Abdolvahab, T., Allan, H., Hosseini, N., Khosravi, A., Asadi, R., Salari, S., Dehghani, R., Jamshidi, Z., Rezaei, M., Saberian, M., Javedan, F., Salari, Z. and Miri, F. 2017. A randomized controlled clinical trial evaluating quality of life in women with primary dysmenorrhea using a simple acupressure protocol. Complementary Therapies in Medicine. 34, pp. 10-15. https://doi.org/10.1016/j.ctim.2017.07.004
The effect of applying pressure to the LIV3 and LI4 on the symptoms of premenstrual syndrome: a randomized clinical trial
Bazarganipour, F., Taghavi, S., Allan, H., Beheshti, F., Khalili, A., Miri, F., Rezaei, M., Mojgori, M., Imaninasab, F., Irani, F. and Salari, S. 2017. The effect of applying pressure to the LIV3 and LI4 on the symptoms of premenstrual syndrome: a randomized clinical trial. Complementary Therapies in Medicine. 31, pp. 65-70. https://doi.org/10.1016/j.ctim.2017.02.003
Value-based recruitment in midwifery: do the values align with what women say is important to them?
Callwood, A., Cooke, D. and Allan, H. 2016. Value-based recruitment in midwifery: do the values align with what women say is important to them? Journal of Advanced Nursing. 72 (10), pp. 2358-2368. https://doi.org/10.1111/jan.13038
Governing body nurses' experiences of clinical commissioning groups: an observational study of two clinical commissioning groups in England
Allan, H., Dixon, R., Lee, G., Savage, J. and Tapson, C. 2017. Governing body nurses' experiences of clinical commissioning groups: an observational study of two clinical commissioning groups in England. Journal of Research in Nursing. 22 (3), pp. 197-211. https://doi.org/10.1177/1744987117702694
Editorial: Shining a light into an unexplored area of nursing: infertility and in vitro fertilisation
Allan, H. 2017. Editorial: Shining a light into an unexplored area of nursing: infertility and in vitro fertilisation. Journal of Clinical Nursing. 26 (7-8), pp. 887-890. https://doi.org/10.1111/jocn.13528
Guyanese expatriate women ask: “is it a touch of sugar?”
Mitchell, A., Allan, H. and Koch, T. 2020. Guyanese expatriate women ask: “is it a touch of sugar?”. Action Research. 18 (4), pp. 433-447. https://doi.org/10.1177/1476750317721303
Student midwives use of stereotypes in perinatal mental health care
Jarrett, P., Allan, H. and Ryan, P. 2016. Student midwives use of stereotypes in perinatal mental health care. Middlesex University Summer Conference. Middlesex University, London, United Kingdom 29 - 30 Jun 2016
The extent, variability, and attitudes towards volunteering among undergraduate nursing students: implications for pedagogy in nurse education
Dyson, S., Liu, L., van den Akker, O. and O'Driscoll, M. 2017. The extent, variability, and attitudes towards volunteering among undergraduate nursing students: implications for pedagogy in nurse education. Nurse Education in Practice. 23, pp. 15-22. https://doi.org/10.1016/j.nepr.2017.01.004
A report of a North Central and East London-wide evaluation of the CEPN multi-professional/collaborative learning groups
O'Driscoll, M., Traynor, M. and Dyson, S. 2017. A report of a North Central and East London-wide evaluation of the CEPN multi-professional/collaborative learning groups. Presented to Health Education England.
An analysis of delegation styles among newly qualified nurses
Magnusson, C., Allan, H., Horton, K., Johnson, M., Evans, K. and Ball, E. 2017. An analysis of delegation styles among newly qualified nurses. Nursing Standard. 31 (25), pp. 46-53. https://doi.org/10.7748/ns.2017.e9780
Editorial: Ethnocentrism and racism in nursing: reflections on the Brexit vote
Allan, H. 2017. Editorial: Ethnocentrism and racism in nursing: reflections on the Brexit vote. Journal of Clinical Nursing. 26 (9-10), pp. 1149-1151. https://doi.org/10.1111/jocn.13627
From transformative learning to social change? Using action research to explore and improve informal complaints management in an NHS trust
Odelius, A., Allan, H., Hunter, B., Bryan, K., Knibb, W. and Shawe, J. 2015. From transformative learning to social change? Using action research to explore and improve informal complaints management in an NHS trust. International Practice Development Journal. 5 (1).
A qualitative study of advanced nurse practitioners’ use of physical assessment skills in the community: shifting skills across professional boundaries
Raleigh, M. and Allan, H. 2017. A qualitative study of advanced nurse practitioners’ use of physical assessment skills in the community: shifting skills across professional boundaries. Journal of Clinical Nursing. 26 (13-14), pp. 2025-2035. https://doi.org/10.1111/jocn.13613
Editorial: the anxiety of caring and the devaluing of nursing
Allan, H. 2017. Editorial: the anxiety of caring and the devaluing of nursing. Journal of Clinical Nursing. 26 (3-4), pp. 299-301. https://doi.org/10.1111/jocn.13380
Adherence to ‘pressure-relief’ regimen for pressure ulcer (PrU) prevention in spinal cord injury (SCI)
Liu, L., Chapman, S., Deegan, R., Allan, H., Traynor, M. and Gall, A. 2016. Adherence to ‘pressure-relief’ regimen for pressure ulcer (PrU) prevention in spinal cord injury (SCI). The 55th ISCoS Annual Scientific Meeting. Vienna, Austria 14 - 16 Sep 2016
Nurses’ experiences of clinical commissioning group boards
Allan, H., O'Driscoll, M., Savage, J., Lee, G. and Dixon, R. 2016. Nurses’ experiences of clinical commissioning group boards. Nursing Standard. 30 (42), pp. 46-55. https://doi.org/10.7748/ns.2016.e9633
Executive summary of the RESPONSE project (responding effectively to services users (patients and cares) and practitioners' (nurses and midwives) perspectives on care concerns: developing sustainable responses through educational action research
Allan, H., Shawe, J., Odelius, A., Knibb, W., Gallagher, A., Hunter, B. and Bryan, K. 2014. Executive summary of the RESPONSE project (responding effectively to services users (patients and cares) and practitioners' (nurses and midwives) perspectives on care concerns: developing sustainable responses through educational action research. University of Surrey.
An investigation into newly qualified nurse' ability to recontextualise knowledge to allow them to delegate and supervise care(AaRK)
Magnusson, C., Westwood, S., Ball, E., Curtis, K., Evans, K., Horton, K., Johnson, M. and Allan, H. 2014. An investigation into newly qualified nurse' ability to recontextualise knowledge to allow them to delegate and supervise care(AaRK). University of Surrey.
Understanding sociology in nursing
Allan, H., Traynor, M., Kelly, D. and Smith, P. 2016. Understanding sociology in nursing. London SAGE Publications.
New role raises questions
Traynor, M., Allan, H., Allan, H., Dyson, S., Corbett, K. and Centre for Criitcal Research in Nursing and Midwifery 2016. New role raises questions. Nursing Standard. 30 (29), pp. 26-27. https://doi.org/10.7748/ns.30.29.26.s25
Delegation and supervision of health care assistants’ work in the daily management of uncertainty and the unexpected in clinical practice: invisible learning among newly qualified nurses
Allan, H., Magnusson, C., Evans, K., Ball, E., Westwood, S., Curtis, K., Horton, K. and Johnson, M. 2016. Delegation and supervision of health care assistants’ work in the daily management of uncertainty and the unexpected in clinical practice: invisible learning among newly qualified nurses. Nursing Inquiry. 23 (4), pp. 377-385. https://doi.org/10.1111/nin.12155
Survey of the Commissioning Nurse Leaders’ Network membership 2015: summary of results
Allan, H. and O'Driscoll, M. 2016. Survey of the Commissioning Nurse Leaders’ Network membership 2015: summary of results. Middlesex University.
An evaluation of the impact of ‘Compassion in practice: nursing, midwifery and care staff - our vision and strategy’ on staff experience in NHS Trusts in England.
Allan, H., O'Driscoll, M., Liu, L., Corbett, K. and Department of Adult, Child and Midwifery, School of Health and Education, Middlesex University 2015. An evaluation of the impact of ‘Compassion in practice: nursing, midwifery and care staff - our vision and strategy’ on staff experience in NHS Trusts in England. School of Health and Education, Middlesex University.
Non-European nurses’ perceived barriers to UK nurse registration
Allan, H. and Westwood, S. 2016. Non-European nurses’ perceived barriers to UK nurse registration. Nursing Standard. 30 (37), pp. 45-51. https://doi.org/10.7748/ns.30.37.45.s41
White British researchers and internationally educated research participants: insights from reflective practices on issues of language and culture in nursing contexts
Allan, H. and Westwood, S. 2015. White British researchers and internationally educated research participants: insights from reflective practices on issues of language and culture in nursing contexts. Journal of Research in Nursing. 20 (8), pp. 640-652. https://doi.org/10.1177/1744987115618236
Managing infertility in primary care
Allan, H. and Mounce, G. 2015. Managing infertility in primary care. Practice Nursing. 26 (9), pp. 440-443. https://doi.org/10.12968/pnur.2015.26.9.440
Learning from people with long-term conditions: new insights for governance in primary health care
Ross, F., Smith, P., Byng, R., Christian, S., Allan, H., Price, L. and Brearley, S. 2014. Learning from people with long-term conditions: new insights for governance in primary health care. Health and Social Care in the Community. 22 (4), pp. 405-416. https://doi.org/10.1111/hsc.12097
Cervical screening and the aftermath of childhood sexual abuse: are clinical staff trained to recognise and manage the effect this has on their patients?
Walker, J. and Allan, H. 2014. Cervical screening and the aftermath of childhood sexual abuse: are clinical staff trained to recognise and manage the effect this has on their patients? Journal of Clinical Nursing. 23 (13-14), pp. 1857-1865. https://doi.org/10.1111/jocn.12390
Early intervention screening involves more than “simple” screening
Lee, H., Lu, Z., Allan, H., Yeh, M. and Chang, S. 2015. Early intervention screening involves more than “simple” screening. International Journal of Healthcare, Insurance and Equity. 2 (1).
Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: a focus group study
Husebø, A., Karlsen, B., Allan, H., Søreide, J. and Bru, E. 2015. Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: a focus group study. Journal of Clinical Nursing. 24 (3-4), pp. 500-510. https://doi.org/10.1111/jocn.12633
Exercise: a path to wellness during adjuvant chemotherapy for breast cancer?
Husebø, A., Allan, H., Karlsen, B., Soreide, J. and Bru, E. 2015. Exercise: a path to wellness during adjuvant chemotherapy for breast cancer? Cancer Nursing. 38 (5), pp. E13-E20. https://doi.org/10.1097/NCC.0000000000000205
Supporting staff to respond effectively to informal complaints: findings from an action research study
Allan, H., Odelius, A., Hunter, B., Bryan, K., Knibb, W., Shawe, J. and Gallagher, A. 2015. Supporting staff to respond effectively to informal complaints: findings from an action research study. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.12770
Gatekeeping access to the midwifery unit: managing complaints by bending the rules
Allan, H., Odelius, A., Hunter, B., Bryan, K., Knibb, W. and Shawe, J. 2015. Gatekeeping access to the midwifery unit: managing complaints by bending the rules. Health. 19 (6), pp. 652-669. https://doi.org/10.1177/1363459314567791
English language skills requirements for internationally educated nurses working in the care industry: barriers to UK registration or institutionalised discrimination?
Allan, H. and Westwood, S. 2016. English language skills requirements for internationally educated nurses working in the care industry: barriers to UK registration or institutionalised discrimination? International Journal of Nursing Studies. 54, pp. 1-4. https://doi.org/10.1016/j.ijnurstu.2014.12.006
'Doing the writing' and 'working in parallel': How 'distal nursing' affects delegation and supervision in the emerging role of the newly qualified nurse
Johnson, M., Magnusson, C., Allan, H., Evans, K., Ball, E., Horton, K., Curtis, K. and Westwood, S. 2015. 'Doing the writing' and 'working in parallel': How 'distal nursing' affects delegation and supervision in the emerging role of the newly qualified nurse. Nurse Education Today. 35 (2), pp. e29-e33. https://doi.org/10.1016/j.nedt.2014.11.020
Developing a robust tool: Advancing the multiple mini interview in pre-registration student midwife selection in a UK setting
Callwood, A., Cooke, D. and Allan, H. 2014. Developing a robust tool: Advancing the multiple mini interview in pre-registration student midwife selection in a UK setting. Nurse Education Today. 34 (12), pp. 1450-1454. https://doi.org/10.1016/j.nedt.2014.04.023
People, liminal spaces and experience: Understanding recontextualisation of knowledge for newly qualified nurses
Allan, H., Magnusson, C., Horton, K., Evans, K., Ball, E., Curtis, K. and Johnson, M. 2015. People, liminal spaces and experience: Understanding recontextualisation of knowledge for newly qualified nurses. Nurse Education Today. 35 (2), pp. e78-e83. https://doi.org/10.1016/j.nedt.2014.10.018
Teachers' views of using e-learning for non-traditional students in higher education across three disciplines [nursing, chemistry and management] at a time of massification and increased diversity in higher education
Allan, H., O'Driscoll, M., Simpson, V. and Shawe, J. 2013. Teachers' views of using e-learning for non-traditional students in higher education across three disciplines [nursing, chemistry and management] at a time of massification and increased diversity in higher education. Nurse Education Today. 33 (9), pp. 1068-1073. https://doi.org/10.1016/j.nedt.2012.04.003
Experiences of supernumerary status and the hidden curriculum in nursing: a new twist in the theory-practice gap?
Allan, H., Smith, P. and O'Driscoll, M. 2011. Experiences of supernumerary status and the hidden curriculum in nursing: a new twist in the theory-practice gap? Journal of Clinical Nursing. 20 (5-6), pp. 847-855. https://doi.org/10.1111/j.1365-2702.2010.03570.x