Integrated commissioning and structural integration: the experience of Northern Ireland

Ann Marie Gray, Derek Birrell

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Across the UK integrated commissioning is seen as important to achieving integrated care. In Great Britain this has largely meant separate health and social care agencies coming together to assess need and the planning and delivery of services. Achieving integrated commissioning has proved difficult in the context of different funding systems and different organisational and professional values and cultures. Northern Ireland is the only part of the United Kingdom to have a system of total structural integration of all health and social care. The purpose of this paper is to examine the challenges of operationalising integrated commissioning in Great Britain and to assess whether the Northern Ireland model of structural integration has resolved such difficulties
Original languageEnglish
Pages (from-to)67-75
JournalJournal of Integrated Care
Issue number2
Early online date8 Mar 2016
Publication statusPublished online - 8 Mar 2016


  • Commissioning of care services
  • Integrated health and social care
  • Structural integration
  • Joint commissioning


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