Do governing body and CSU nurses on clinical commissioning groups really lead a nursing agenda? Findings from a 2015 Survey of the Commissioning Nurse Leaders’ Network Membership

Article

O'Driscoll, M., Allan, H., Lee, G., Savage, J., Tapson, C. and Dixon, R. 2018. Do governing body and CSU nurses on clinical commissioning groups really lead a nursing agenda? Findings from a 2015 Survey of the Commissioning Nurse Leaders’ Network Membership. Journal of Nursing Management. 26 (3), pp. 245-255. https://doi.org/10.1111/jonm.12485
TypeArticle
TitleDo governing body and CSU nurses on clinical commissioning groups really lead a nursing agenda? Findings from a 2015 Survey of the Commissioning Nurse Leaders’ Network Membership
AuthorsO'Driscoll, M., Allan, H., Lee, G., Savage, J., Tapson, C. and Dixon, R.
Abstract

Aims
This paper presents findings from a 2015 survey of the Commissioning Nurse Leaders’ Network (CNLN) aiming to understand how governing body nurses (GBNs), perceive their influence and leadership on clinical commissioning groups (CCGs).
Methods
An online survey method was used with a census sample of 238 GBNs and nurses working in CSUs, who were members of the CNLN. The response rate was 40.7% (n=97).
Results
While most GBNs felt confident in their leadership role, this was less so for non-executive GBNs and nurses in CSUs were much less positive than GBNs about their influence on CCGs.
Conclusions
Despite GBNs’ satisfaction with their impact on CCGs, there is no reliable evidence of this impact. The purpose of such roles to "represent nursing, and ensure the patient voice is heard” (NHSCC 2016:9) may be a flawed aspiration, conflating nursing leadership and patient voice.
Implications for Nursing Management
This is the first study to explicitly explore differences between executive and non-executive GBNs and CSUs. Achieving CCG goals, including developing and embedding nursing leadership roles in CCGs, may be threatened if the contributions of GBNs, and other nurses supporting, CCGS, go unrecognised or if GPs or other CCG executive members dominate decision-making.

Keywordsclinical commissioning groups; commissioning support units ; governing body nurses ; nurse leadership
PublisherWiley
JournalJournal of Nursing Management
ISSN0966-0429
Electronic1365-2834
Publication dates
Online05 Mar 2018
Print19 Apr 2018
Publication process dates
Deposited26 Jun 2017
Accepted06 Mar 2017
Output statusPublished
Accepted author manuscript
Copyright Statement

This is the peer reviewed version of the following article: O'Driscoll M., Allan H.T., Lee G., Savage J., Tapson C. & Dixon R. (2018) Journal of Nursing Management 26, 245–255 Do governing body and CSU nurses on clinical commissioning groups really lead a nursing agenda? Findings from a 2015 Survey of the Commissioning Nurse Leaders' Network Membership, which has been published in final form at http://dx.doi.org/10.1111/jonm.12485. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving

Digital Object Identifier (DOI)https://doi.org/10.1111/jonm.12485
PubMed ID29504175
Web of Science identifierWOS:000430394200001
LanguageEnglish
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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
Are senior nurses on clinical commissioning groups in England inadvertently supporting the devaluation of their profession?: A critical integrative review of the literature
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
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. online 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