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'Calling executives and clinicians to account': User involvement in commissioning cancer services

Evans, David H.; Stagg, Angela M.; Bacon, Roger J.; Evans, David; Bacon, Roger J; Stagg, Angela M; Greer, Elizabeth; Turton, Pat


David H. Evans

Angela M. Stagg

Roger J. Bacon

David Evans
Professor in Health Services Research

Roger J Bacon

Angela M Stagg

Elizabeth Greer

Pat Turton


© 2013 John Wiley & Sons Ltd. Background: English NHS guidance emphasizes the importance of involving users in commissioning cancer services. There has been considerable previous research on involving users in service improvement, but not on involvement in commissioning cancer services. Objective: To identify how users were involved as local cancer service commissioning projects sought to implement good practice and what has been learned. Design: Participatory evaluation with four qualitative case studies based on semi-structured interviews with project stakeholders, observation and documentary analysis. Users were involved in every stage from design to analysis and reporting. Setting and participants: Four English cancer network user involvement in commissioning projects, with 22 stakeholders interviewed. Results: Thematic analysis identified nine themes: initial involvement, preparation for the role, ability to exercise voice, consistency and continuity, where decisions are made, closing the feedback loop, assessing impact, value of experience and diversity. Discussion: Our findings on the impact of user involvement in commissioning cancer services are consistent with other findings on user involvement in service improvement, but highlight the specific issues for involvement in commissioning. Key points include the different perspectives users and professionals may have on the impact of user involvement in commissioning, the time necessary for meaningful involvement, the importance of involving users from the beginning and the value of senior management and PPI facilitator support and training. Conclusions: Users can play an important role in commissioning cancer services, but their ability to do so is contingent on resources being available to support them.


Bacon, R. J., Evans, D. H., Stagg, A. M., Evans, D., Bacon, R. J., Greer, E., …Turton, P. (2015). 'Calling executives and clinicians to account': User involvement in commissioning cancer services. Health Expectations, 18(4), 504-515.

Journal Article Type Article
Publication Date Jan 1, 2015
Journal Health Expectations
Print ISSN 1369-6513
Electronic ISSN 1369-7625
Publisher Wiley Open Access
Peer Reviewed Peer Reviewed
Volume 18
Issue 4
Pages 504-515
Keywords cancer services, commissioning, patient and public involvement, user involvement
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